NPI | 1235747775 |
---|---|
Doing Business As | ST. MATTHEWS PHARMACY 2 |
Entity Type | Organization |
Authorized Contact | BRADLEY ECKMANN CEO 502-314-0146 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2020-07-21 |
Last Update Date | 2024-01-22 |