Afton Pharmacy Store
Pharmacist in Jeffersonville, IN. Organization (NPI-2).
NPI number1104417112
StatusActive
Last updated in NPPESFeb 2, 2021
Details
- NPI
- 1104417112
- Entity type
- Organization (NPI-2)
- Legal business name
- Afton Pharmacy Store
- Organization subpart
- No
- Enumeration date
- Feb 2, 2021
- Certification date
- Feb 2, 2021
- Last updated
- Feb 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | – | – | Yes |
Practice location
1802 E 10th StJeffersonville, IN 47130-6016
Phone 502-724-2018
Mailing address
1802 E 10th StJeffersonville, IN 47130-6016
Phone 502-724-2018
Authorized official
Brenda Robertson
Manager
5027242018
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