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 | 2024-02-15 |