NPI | 1316285661 |
---|---|
Doing Business As | RX ADVANTAGE 001 |
Entity Type | Organization |
Authorized Contact | LAWRENCE PETERS Md 502-368-9591 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07630) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2013-01-22 |
Last Update Date | 2022-06-15 |