| NPI | 1528836582 |
|---|---|
| Doing Business As | MONTICELLO MEDICAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KATRINA TROXELL Insurance Dept. Manager 606-348-3365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2023-12-19 |