| NPI | 1538377114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE RAY GODBY Owner 270-422-2477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P06557) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |