| NPI | 1356120091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER M YOWLER President/Treasurer 502-627-7100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2023-10-18 |