| NPI | 1659382166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHEL R COX President 270-465-4137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: KY P01333) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 183500000X Pharmacist (Licence: KY 007598) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2008-04-15 |