| NPI | 1639102213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON L. BROWN Secretary 502-630-7429 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: NM PH00002982) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NM PH00002000) |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2024-02-13 |