| NPI | 1083228852 |
|---|---|
| Doing Business As | HARVEST GROVE LTC |
| Entity Type | Organization |
| Authorized Contact | ALLISON L. BROWN Secretary 502-630-7429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2024-02-14 |