| NPI | 1386742351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J SEWELL Pres 270-684-0649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: KY P02029) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2008-03-14 |