| NPI | 1407226392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN LYSINGER VP 502-580-2376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH29426) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2026-02-24 |