| NPI | 1073773503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN SALYER Pharmacist 606-789-5371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY PO2441) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-08-29 |