| NPI | 1336965581 |
|---|---|
| Doing Business As | KENTUCKYCARE PHARMACY 146 |
| Entity Type | Organization |
| Authorized Contact | TALMAGE JEREMY WHITEHEAD CFO 870-347-2534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2024-12-03 |