| NPI | 1497797286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DAVID MARSHALL President 270-827-3503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P00333) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: KY P00333) |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2024-02-07 |