| NPI | 1649718842 |
|---|---|
| Doing Business As | GAP DRUG |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY CARNES Owner 270-566-1074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: KY P07824) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2020-07-17 |