| NPI | 1700885001 |
|---|---|
| Doing Business As | FOUNTAIN SQUARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MAURICE MCGLONE Pharm D 606-248-1052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07708) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2016-06-28 |