MEDICARE: GARRETT PHARMACARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	60005753A	IN

General Provider Information

NPI Number	:	1215963962
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARRETT PHARMACARE, LLC

Provider Business Mailing Address
First Line	:	100 S RANDOLPH ST
Second Line	:
City	:	GARRETT
State	:	IN
Zip	:	46738-1468
Country	:	US
Telephone Number	:	260-357-4022
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 S RANDOLPH ST
Second Line	:
City	:	GARRETT
State	:	IN
Zip	:	46738-1468
Country	:	US
Telephone Number	:	260-357-4022
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. THOMAS J FEICHTER
Credential	:
Telephone Number	:	260-969-3196

Provider Enumeration Date	:	06/24/2006
Last Update Date	:	08/22/2020

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