| NPI | 1518321504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICKIE DUNN Pharmacist 859-312-8913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: KY 015375) |
| Additional Taxonomies | 261QC1800X Clinic/Center, Corporate Health |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-04-06 |