Parkside Pharmacy INC

NPI #1063465904 in Lafayette, Indiana

Provider Information

NPI Number
1063465904
Entity Type
Organization
Organization Name
Parkside Pharmacy INC
Primary Specialty
Pharmacy - Long Term Care Pharmacy
Enumeration Date
May 19, 2006
Last Updated
Aug 15, 2016

Practice Location

Address
2200 FERRY ST
State
Indiana
ZIP Code
47904-3016
Phone
(765) 447-1000

Authorized Official

Name
MR. RANDALL L GERHART, BS PHARMACY
Title
OWNER PHARMACIST
Phone
(765) 447-1000

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy

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