Organization

Src Pharmacy Llc

May also be knows as Residential Crf

Long Term Care Pharmacy in Connersville, IN(View on Map)

Legal Business Name

Src Pharmacy Llc

Also Known As

Residential Crf

NPI Number

1740248616

NPI Type

Organization

Enumeration Date

05/02/2006

Specialties

(Taxonomies)

Code

3336L0003X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

2600 WESTERN AVE
2600 WESTERN AVE

City

Connersville
Connersville

State

IN
IN

Postal Code

47331-1803
47331-1803

Country

US
US

Telephone Number

(765) 825-6800
(765) 825-6800

Authorized Official

Name

Mr. Jason Allen

Title or Position

PHARMACIST

Telephone Number

(765) 825-6800

Identifiers

Identifier

200454050A

Identifier State

IN

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/05/2019

Provider Address

Other Long Term Care Pharmacies in Connersville, Indiana:

Organization

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Connersville, IN

Specialty: Long Term Care Pharmacy (Primary)

Organization

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Connersville, IN

Specialties: Long Term Care Pharmacy (Primary)Community/Retail PharmacyDurable Medical Equipment & Medical SuppliesPharmacy