| NPI | 1457661134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES KNAUFF CEO 270-365-3903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: KY P07432) | |
| 333600000X Pharmacy | |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: KY HME00400) | |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2014-12-08 |