NPI | 1154474492 |
---|---|
Doing Business As | COMPOUND CARE PHARMACY |
Entity Type | Organization |
Authorized Contact | LANCE O IDLEMAN Manager 502-244-6500 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07040) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2020-11-24 |