| NPI | 1346427242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN BECK Pharmacist/Pharmacy Mgr 270-527-1409 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: KY P01049) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2021-10-06 |