| NPI | 1407910706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHWETA DESAI System Director, Community Pharmacy 502-530-4125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: KY P07088) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2024-08-22 |