| NPI | 1659435618 |
|---|---|
| Doing Business As | BLUEGRASS APOTHECARY |
| Entity Type | Organization |
| Authorized Contact | CARL LEWIS Owner 270-926-4080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P06865) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2025-07-07 |