| NPI | 1285973313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ANN ROBERTS PIC 606-557-1213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07538) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-02-09 |
| Last Update Date | 2022-10-31 |