| NPI | 1376949362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY HURT Pharmacist In Charge 606-435-0460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07662) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2019-09-17 |