Dekalb Memorial Pharmacare LLC
Organization Active NPI Community/Retail Pharmacy · Garrett, IN
NPI 1639620669 · NPPES record last updated Oct 31, 2024
Key facts
- NPI
- 1639620669
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 60006582A (IN)
- Legal business name
- DEKALB MEMORIAL PHARMACARE LLC
- Practice address
- 1350 S Randolph St
Garrett, IN 46738-1971 - Phone
- (260) 553-9200
- Fax
- (260) 553-9201
- NPI assigned
- Oct 14, 2016
- Organization subpart
- No
Authorized official
- Name
- Stanton Risser
- Title
- Acfo
- Phone
- (260) 266-9380
Corporate family (same tax ID) 1
Practitioners 4
-
Douglas R Crane, RPH
-
Lori A. McComb, PHARMD
-
Jacob Daniel Clendenen, PHARMD
-
Emily Jane Koenemann, PHARMD
National Provider Directory
- Tax ID family
- Dekalb Health Pharmacare
Locations
1350 S Randolph St
Garrett, IN 46738
Phone (260) 553-9200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 60006582A | IN | Yes |
Addresses
Primary practice location
1350 S Randolph St
Garrett, IN 46738-1971
Mailing address
1350 S Randolph St
Garrett, IN 46738-1971
Phone (260) 553-9200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2164066 | Other | PK |
Other names
- DeKalb Health PharmaCare Garrett
Other providers in Garrett, IN
- Linda Marie Brezausek
- Jacob Daniel Clendenen
- Jane Ellen Dannhausen
- Audra Renae Deardorf
- Dekalb Memorial Hospital, Inc
- Element Care Group
- Garrett Family Dentistry LLC
- Garrett Pharmacare, LLC
- Garrett-Keyser-Butler Community School District
- Damon E Greven
All providers in Garrett, IN · Community/Retail 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 Oct 31, 2024. 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.