| NPI | 1710074067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK SHAWN FLAUGHER Executive Director 606-759-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: KY P06099) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2024-10-08 |