| 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 |