| NPI | 1043675507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASER RAMOS President 502-964-5441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07733) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH29863) |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2016-03-22 |