| NPI | 1386175610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ELAINE SMITH Pharmacist 606-627-3642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY 018999) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2024-07-22 |