Src Pharmacy LLC
NPI #1740248616 in Connersville, Indiana
Provider Information
- NPI Number
- 1740248616
- Entity Type
- Organization
- Organization Name
- Src Pharmacy LLC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- May 2, 2006
- Last Updated
- Dec 5, 2019
Practice Location
- Address
- 2600 WESTERN AVE
- City
- Connersville
- State
- Indiana
- ZIP Code
- 47331-1803
- Phone
- (765) 825-6800
Authorized Official
- Name
- MR. JASON C ALLEN, RPH
- Title
- PHARMACIST
- Phone
- (765) 825-6800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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