| NPI | 1689079840 |
|---|---|
| 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 | 2025-07-15 |