| NPI | 1063897015 | 
|---|---|
| Doing Business As | SHELBYVILLE PHARMACY | 
| Entity Type | Organization | 
| Authorized Contact | JASON ELLIOTT UNDERWOOD Sole Member 502-437-3008 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07678) | 
| Enumeration Date | 2015-07-20 | 
| Last Update Date | 2025-02-28 |