| NPI | 1083470223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE DEBORD YOUNCE Chief Of Payer Administration 859-257-9521 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-02-26 |