| NPI | 1427892165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LUKE WARNER Owner/Pharmacist 270-566-8623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2024-08-21 |