| NPI | 1093852592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM RAY Pharmacist 270-885-6131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY PO1188) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |