Shakamak Health INC
Pharmacy, Long Term Care Pharmacy in Jasonville, IN. Organization (NPI-2).
NPI number1164053617
StatusActive
Last updated in NPPESFeb 3, 2020
Details
- NPI
- 1164053617
- Entity type
- Organization (NPI-2)
- Legal business name
- Shakamak Health INC
- Organization subpart
- No
- Enumeration date
- Feb 3, 2020
- Certification date
- Feb 3, 2020
- Last updated
- Feb 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | Yes |
Other names
- Shakamak Pharmacy (Doing Business As)
Practice location
346 E Main StJasonville, IN 47438-1510
Phone 812-665-9760
Mailing address
346 E Main StJasonville, IN 47438-1510
Phone 812-665-9760
Authorized official
Traver Wolf
Pharmacist/President
8126659760
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.