| NPI | 1295372068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIJALKUMAR J PATEL Owner,Rph 859-407-4135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2019-11-29 |
| Last Update Date | 2020-09-11 |