| NPI | 1467676684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAUNDRA MATTHEWS Intake Coordinator 606-387-0023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07181) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2008-02-05 |