| NPI | 1326519513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN A LARIVIERE Chief Compliance Officer 502-627-7404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2019-11-18 |