| NPI | 1104938992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY J CRAWFORD President 859-441-8876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: MS 02591) |
| 333600000X Pharmacy (Licence: MS 02591) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 02776 01) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: MS 02776 02) | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: MS 02776 02.0) | |
| 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: MS 02591 06) | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: MS 02776 02) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-09-25 |