| NPI | 1487897088 |
|---|---|
| Doing Business As | BLACK GOLD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | HOWARD ROBINSON Pharmacist/PIC 606-436-0045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07333) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2009-04-29 |