| NPI | 1154479160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANN SAMONS Owner 606-285-0786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY po6243) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |