| NPI | 1063172534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CASEY WHITTAKER Director Of Pharmacy 606-526-9005 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2021-12-27 |
| Last Update Date | 2025-07-21 |