| NPI | 1235410192 |
|---|---|
| Doing Business As | PROFESSIONAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARIETTA CAMPOY Owner/Pharmacist 606-432-0196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07467) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2022-07-27 |