| NPI | 1568703544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAI P GUTTI Physician/Owner 606-437-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: KY 29929) |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2013-03-15 |