| NPI | 1164558912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY HOLLAND Owner President 606-478-9474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07641) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2021-03-22 |