| NPI | 1235516402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON BROWN Secretary/Managing Member 502-627-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2025-04-14 |