| NPI | 1134463649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D. MILAM Pharmacist In Charge 859-246-0112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: KY PO7156) |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2016-06-29 |