| NPI | 1225106057 |
|---|---|
| Doing Business As | BLUEGRASS LTC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GARY RUSSELL President Pharmacist 270-825-2775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: KY P07150) |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2015-11-18 |