| NPI | 1699869651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY F. POWELL Owner 859-623-8065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY PO6249) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-03-07 |