| NPI | 1356412787 |
|---|---|
| Doing Business As | CLINIC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DONALD GLENN RILEY Owner 270-781-3095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY P02386) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: KY P02386) |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2012-02-08 |