| NPI | 1578686481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MAYES Pharmacist In Charge 606-674-2313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY p00885) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |