| NPI | 1477601391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY KEVIN JENKINS President COO Wner 270-299-2467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: KY P07014) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2012-07-30 |