| NPI | 1407152515 |
|---|---|
| Doing Business As | EASTRIDGE-PHELPS PHARMACY GREENSBURG |
| Entity Type | Organization |
| Authorized Contact | CHAD PHELPS Member/Pharmacist 270-299-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY p07439) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2022-06-10 |