| NPI | 1720190671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE ROBERTSON Owner 270-821-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07028) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-08-29 |