NPI | 1689079840 |
---|---|
Other Name | HEALTHFIRST BLUEGRASS PHARMACY #497 |
Entity Type | Organization |
Authorized Contact | WAYNE LINSCOTT CEO 859-288-2425 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: KY P07650) |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2014-10-30 |
Last Update Date | 2019-10-17 |