| NPI | 1578066072 |
|---|---|
| Doing Business As | CLINIC PHARMACY MADISONVILLE |
| Entity Type | Organization |
| Authorized Contact | THERESA POWERS ELLIOTT Cpa 270-684-3414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07870) |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2018-03-12 |