| NPI | 1508081100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN H. STERN Owner 502-583-5836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: KY 1829247) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2021-09-28 |