| NPI | 1104807841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD KENNETH DOVE President/Pharmacist 859-745-4445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P01493) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2008-04-10 |