| NPI | 1457664914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA SPENCER Pharmacist/Owner 270-239-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: KY P07398) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: KY P07398) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2010-07-26 |