| NPI | 1467564310 |
|---|---|
| Doing Business As | KYVA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BERNARDINE MIRACLE PIC,AO 606-633-4488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P06331) |
| Additional Taxonomies | 333600000X Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-06-29 |