| NPI | 1235990615 | 
|---|---|
| Doing Business As | SHELBYVILLE PHARMACY LONG-TERM CARE | 
| Entity Type | Organization | 
| Authorized Contact | JASON ELLIOTT UNDERWOOD Pharmacist Owner 502-437-3008 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy | 
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy | 
| Enumeration Date | 2024-01-22 | 
| Last Update Date | 2024-07-15 |