| NPI | 1073627055 |
|---|---|
| Doing Business As | CDS #10 PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RICHARD LACEFIELD Owner Pharmacist 270-781-5661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: KY P00972) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2019-12-23 |