| NPI | 1477982650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE BARRY HALL Pharmacist In Charge 859-893-1064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2014-06-28 |