| NPI | 1649697087 |
|---|---|
| Doing Business As | CRUME DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | GARY OSBORNE Managing Member 502-348-3938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: KY P07599) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2014-03-24 |