| NPI | 1487802070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBEY WALTERS Owner 606-248-0171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: KY P07262) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2009-05-08 |