| NPI | 1235273467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE GUNKEL Pharmacist In Charge 270-821-5440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P01410) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2010-07-28 |