| NPI | 1700873544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN SLUSHER Pharmacist Owner 606-679-1169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: KY 6797) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2008-05-12 |