| NPI | 1245650647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SLONE President 606-436-2407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY HME00804) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2018-07-19 |