| NPI | 1700817897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN EMBERTON Owner 270-432-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P00473) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY P00473) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2012-10-02 |