| NPI | 1063675684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN LYSINGER VP 502-580-2376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: OH 021826600) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2026-02-24 |