| NPI | 1134587181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN S. REED Vice President 502-394-2100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: VA 0201004676) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2020-10-22 |