| NPI | 1174898746 |
|---|---|
| Doing Business As | EAST MAIN PHARMACY LLC |
| Entity Type | Organization |
| Authorized Contact | DACHEA WOOTON Owner,PIC,AO 606-487-0107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07502) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2015-09-17 |