| NPI | 1245366608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAREN WHITE Owner 859-277-2271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: KY P06668) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: KY P06668) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2023-03-07 |