| NPI | 1588737241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE R LOWE Owner 270-554-7944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: KY P06669) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |