| NPI | 1528431608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE COMBS Owner 606-233-8492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07725) |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2022-01-26 |