| NPI | 1629542469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD ERWIN EVANS Director Of Pharmacy And Ancillary 606-956-0188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-01-15 |