| NPI | 1639207996 |
|---|---|
| Doing Business As | PARK AVENUE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ROBERT CALVERT Secretary Treasurer And Mgr 270-651-5156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P02540) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2017-02-20 |