| NPI | 1528179348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK S EDWARDS Pharmacy Mgr 859-623-3412 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY PO7000) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-02-19 |