| NPI | 1407436264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA CALDWELL FELTNER Owner/Manager 606-275-0835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2021-06-15 |