| NPI | 1578286985 |
|---|---|
| Doing Business As | PARK DUVALLE NEWBURG COMMUNITY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SWANNIE JETT CEO 502-774-4401 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2022-09-21 |