| NPI | 1497585624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHWETA DESAI System Director, Community Pharmacy 502-530-4125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2024-08-02 |
| Last Update Date | 2025-03-31 |