| NPI | 1073142154 |
|---|---|
| Doing Business As | BLUEGRASS APOTHECARY LTC |
| Entity Type | Organization |
| Authorized Contact | CARL P LEWIS Pharmacy/Owner 270-926-4080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2025-07-07 |