| NPI | 1710370580 |
|---|---|
| Doing Business As | ELY SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TRAVIS HUDNALL Owner 270-467-5225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: KY P07674) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-03-18 |