| NPI | 1093593253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY THOMPSON CHEUVRONT Pharmacist 606-687-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2024-02-13 |