NPI | 1255717278 |
---|---|
Entity Type | Organization |
Authorized Contact | KENT L SHEARER Owner/Pharmacist 606-387-6616 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2015-07-31 |
Last Update Date | 2017-03-28 |