| NPI | 1386170611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIJALKUMAR JAYANTILAL PATEL Owner , R Ph 502-699-2440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: KY P07843) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2019-03-14 |