| NPI | 1275058513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA D INGRAM Owner 859-234-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY PO7853) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2022-07-21 |