| Heart City Health Center Pharmacy | |
|
236 Simpson Ave Elkhart IN 46516-4671 | |
| (574) 970-1441 | |
| (574) 970-1449 |
| Full Name | Heart City Health Center Pharmacy |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 236 Simpson Ave, Elkhart, Indiana |
| Authorized Official Name and Position | Eugenio Edwardo Valdez (QUALIFYING PHARMACIST) |
| Authorized Official Contact | 5749701441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart City Health Center Pharmacy 236 Simpson Ave Elkhart IN 46516-4671 Ph: (574) 970-1441 | Heart City Health Center Pharmacy 236 Simpson Ave Elkhart IN 46516-4671 Ph: (574) 970-1441 |
| NPI Number | 1003802455 |
|---|---|
| Provider Enumeration Date | 09/21/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003802455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 60005127A (Indiana) | Primary |
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