| NPI | 1023779212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS KIRKPATRICK Pharmacist In Charge 859-389-7470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy Mail Order Pharmacy |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2022-01-10 |