| NPI | 1659399392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE I. GREENWELL Pharmacist Owner 606-564-6943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY KY P00104) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY ky p00104) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-22 |