NPI | 1053346684 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINE WINDHAM Office Manager 606-877-1008 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: KY P06244) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY P06244) |
3336C0003X Pharmacy Community/Retail Pharmacy (Licence: KY PO6244) | |
3336C0004X Pharmacy Compounding Pharmacy (Licence: KY P06244) | |
Enumeration Date | 2006-07-12 |
Last Update Date | 2020-07-13 |