| NPI | 1417630849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ROBERT OLIVER President/Owner 270-651-8889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2023-08-11 |