| NPI | 1285900860 |
|---|---|
| Doing Business As | BLUEGRASS DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | MARK TAYLOR Co Owner/PIC 859-236-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07500) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-03-28 |