| NPI | 1134163256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH RAY HOLLAND Owner 812-254-7666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60003268A) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2009-05-11 |