| NPI | 1245478007 |
|---|---|
| Doing Business As | EASTRIDGE-PHELPS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHAD PHELPS Pharmacist/PIC/Member 270-789-0577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07325) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-01-31 |
| Last Update Date | 2021-03-05 |