| NPI | 1205033859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS A CANERIS Vice President 502-627-7135 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TX 25606) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2014-09-15 |