| NPI | 1164151585 |
|---|---|
| Doing Business As | MIDDLETOWN PHARMACY & WELLNESS-LTC |
| Entity Type | Organization |
| Authorized Contact | MARY BOGGESS Owner 502-690-2410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2022-06-09 |