| NPI | 1245688035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LIN Director Of Pharmacy 502-772-0889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: KY P07771) |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2022-03-09 |