| NPI | 1043391139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIJALKUMAR JAYANTILAL PATEL Owner , Rph 502-863-3784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07942) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-03-18 |