| NPI | 1184504094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW BROWN President 270-387-1474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| Enumeration Date | 2025-09-03 |
| Last Update Date | 2025-09-03 |