| NPI | 1588723688 |
|---|---|
| Doing Business As | HEALTHY WAY PHARMACY CEDARKNOLL |
| Entity Type | Organization |
| Authorized Contact | JOHN DICKERSON Pres Owner AO 606-738-9790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07152) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2015-08-11 |