| NPI | 1083159677 |
|---|---|
| Doing Business As | BLUEGRASS DRUG CENTER CARROLLTON |
| Entity Type | Organization |
| Authorized Contact | ERIK GROVE President/Owner/AO 812-265-4621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07825) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2020-04-13 |