| NPI | 1134228232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES W KELLEY Owner/Pharmacist In Charge 502-839-5147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY P02132) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |