| NPI | 1023193067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE MARKS Com MIS Sioner 502-782-6106 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: KY P05011) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2023-10-20 |