| NPI | 1235184078 |
|---|---|
| Doing Business As | INDEPENDENCE HOME PHARMACY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM HEWLETT Director 270-753-5250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: KY PO7112) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-08-22 |