| NPI | 1558966093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISHMA R PATEL Pharmacist In Charge 502-281-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2021-01-26 |