| NPI | 1386609972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA FRAZIER Owner 606-349-3135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: KY P00834) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: KY P00834) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2019-02-04 |