| NPI | 1336907062 |
|---|---|
| Doing Business As | BOURBONTOWN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KASIA BARTLEY Owner 606-356-5237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-07-15 |