| NPI | 1053944181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANN KEOWN Pharmacy Owner 270-622-8855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-02-17 |