| NPI | 1376544957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA D. TIMMONS Vice President 270-444-2022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: KY PO6857) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY PO6857) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2008-03-31 |