| NPI | 1699319814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY ECKMANN CEO 502-314-0146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2024-04-02 |