| NPI | 1447656400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN WILLING Chief Operating Officer 502-423-7525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: NC 12147) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2016-12-29 |