NPI | 1154479152 |
---|---|
Doing Business As | WALTERS PHARMACY SHOPPE |
Entity Type | Organization |
Authorized Contact | TRENT WALTERS Owner 606-248-8900 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY 007132) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2007-01-08 |
Last Update Date | 2010-04-01 |