| NPI | 1205077401 |
|---|---|
| Doing Business As | US 25W PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | LARRY KENNETH Pharmacy Manager 606-258-7024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: KY p07323) |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-03-18 |