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Powells Precious Lotus
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in South Bend, Indiana
NPI 1376318931

Powells Precious Lotus is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in South Bend, IN. Powells Precious Lotus practices in South Bend, IN. The NPI Number for Powells Precious Lotus is 1376318931 and holds a License No. (Indiana).

The current practice location address for Powells Precious Lotus is 5316 Reo Ave, South Bend, IN and can be reached out via phone at 574-440-1731.

Location: 5316 Reo Ave, South Bend, IN, 46619-1341
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376318931
Provider Name
Powells Precious Lotus
Credential
Provider Entity Type
Organization
Address
5316 Reo Ave, South Bend, IN, 46619-1341
Phone Number
574-440-1731
Fax Number
Provider Enumeration Date
11/22/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
5316 Reo Ave
City
South Bend
State
Indiana
Zip
46619-1341
Phone Number
574-440-1731
Fax Number
person
Provider Business Mailing Address Details
Address
5316 Reo Ave
City
South Bend
State
Indiana
Zip
46619-1341
Phone Number
574-440-1731
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Speciality
-
Taxonomy
332800000X
License No.
()
Definition
An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
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