Shakamak Health Inc
Organization Active NPI Long Term Care Pharmacy · Jasonville, IN
NPI 1164053617 · NPPES record last updated Feb 3, 2020
Key facts
- NPI
- 1164053617
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- Legal business name
- SHAKAMAK HEALTH INC
- Practice address
- 346 E Main St
Jasonville, IN 47438-1510 - Phone
- (812) 665-9760
- NPI assigned
- Feb 3, 2020
- Organization subpart
- No
Authorized official
- Name
- Traver Wolf
- Title
- Pharmacist/President
- Phone
- (812) 665-9760
Practitioners 1
-
Traver Wolf, PHARMACIST
National Provider Directory
Locations
346 E Main St
Jasonville, IN 47438
Phone (812) 665-9760
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Yes |
Addresses
Primary practice location
346 E Main St
Jasonville, IN 47438-1510
Mailing address
346 E Main St
Jasonville, IN 47438-1510
Phone (812) 665-9760
Other names
- SHAKAMAK PHARMACY
Other providers in Jasonville, IN
- Samuel Edward Messmer
- MSD of Shakamak
- Ruth A Quinlan
- Lisa Leann Racine
- Shakamak Family Dentistry, LLC
- Shakamak Health Inc
- Shakamak Medical Center, Inc.
- Shakamak Rehab Inc
- Southwestern Emerg. Med. Serv. Inc.
- Morgan Rene May Sparks
All providers in Jasonville, IN · Long Term Care Pharmacy in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.