| NPI | 1548357189 |
|---|---|
| Doing Business As | CWD CLOSED DOOR |
| Entity Type | Organization |
| Authorized Contact | STEVEN S REED Secretary 502-394-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CA PHY47451) |
| Additional Taxonomies | 3336I0012X Pharmacy, Institutional Pharmacy |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2023-03-09 |