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Contact Information

DAVID KIM
600 MARY ST
EVANSVILLE, IN47710-1674
 Phone: 812-598-6008
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for

NPI Number 1346196417
Entity Organization
Organization subpart 1 Not specified
Enumeration date 03/10/2026
Last updated 03/10/2026 - About 3 months ago
Identifiers
IN License # 26027711A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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