| NPI | 1205834314 |
|---|---|
| Doing Business As | THE MEDICINE SHOPPE 1479 |
| Entity Type | Organization |
| Authorized Contact | DONALD R FIELDS Owner/Chief Pharmacist 606-435-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 6469) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2020-08-22 |