| NPI | 1245275551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON L. BROWN Secretary 502-630-7429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: WV MP0552385) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2024-02-13 |