| NPI | 1588007090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEON MCFALLS Executive Director 502-227-2303 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY PO7554) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2013-05-10 |