OrganizationActive
Saint Joseph Regional Medical Center - Plymouth Campus Inc
NPI 1093102162 · Non-Pharmacy Dispensing Site · Plymouth, IN
Provider details
- NPI number
- 1093102162
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Saint Joseph Regional Medical Center - Plymouth Campus Inc
- Organization subpart
- Yes
- Authorized official
- Carol Tincher, Pharmacy Manager(574) 948-4305
Specialties & taxonomies
Suppliers
Practice location
1915 Lake Ave
Plymouth, IN 46563-9366
Phone: (574) 948-4305
Approximate (ZIP-level) locationGet directions
Mailing address
6501 City West Pkwy
Eden Prairie, MN 55344-3248
Other names (DBA / former)
- Doing business as
- St Joseph Regional Medical Center
Registry dates
- Enumerated
- 2015-04-16
- Last updated
- 2023-08-30
- Certified
- 2021-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.