| NPI | 1518504372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY H BRAINARD President 606-678-2784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2019-11-28 |
| Last Update Date | 2022-08-23 |