| NPI | 1427382688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID NATION Pharmacist/Owner 270-684-5398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: IN 60006206A) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2017-02-22 |