NPI | 1295760817 |
---|---|
Former Legal Business Name | WINDHAM DRUG, INC. |
Entity Type | Organization |
Authorized Contact | CHRIS ELLEN WINDHAM V.P./Manager 606-862-6261 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: KY P06759) |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: KY P06759) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2020-07-13 |