| NPI | 1144435645 |
|---|---|
| Doing Business As | THE PHARMACY SHOP |
| Entity Type | Organization |
| Authorized Contact | CLARENCE F SULLIVAN Doctor Of Pharmacy 859-421-0639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY KY08745) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2019-01-22 |