| NPI | 1053767863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER HARLOW Director Of Pharmacy 502-690-4462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-05-11 |