| NPI | 1528315918 |
|---|---|
| Doing Business As | ELY DRUG OF BOWLING GREEN |
| Entity Type | Organization |
| Authorized Contact | LINDSEY PEDEN Pharmacist 270-467-5225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07516) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2015-08-10 |