| NPI | 1396578076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON BROWN Secretary 502-630-7429 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-08-20 |