| NPI | 1144734054 |
|---|---|
| Other Name | CLINIC PHARMACY POWDERLY |
| Entity Type | Organization |
| Authorized Contact | THERESA POWERS ELLIOTT Cpa/Accountant 270-684-3414 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: KY P07836) |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2023-03-07 |