State of Indiana, Auditor of State

NPI #1649396466 in Madison, Indiana

Provider Information

NPI Number
1649396466
Entity Type
Organization
Organization Name
State of Indiana, Auditor of State
Primary Specialty
Pharmacy - Institutional Pharmacy
Enumeration Date
Mar 22, 2007
Last Updated
Dec 17, 2007

Practice Location

Address
711 GREEN RD
State
Indiana
ZIP Code
47250-2143
Phone
(812) 265-2611

Authorized Official

Name
DR. PEGGY S STEPHENS, MD
Title
SUPERINTENDENT AND MEDICAL DIRECTO
Phone
(812) 265-2611

Specialties & Taxonomy Codes

Specialty
Pharmacy - Institutional PharmacyInstitutional Pharmacy

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