| NPI | 1720300684 |
|---|---|
| Doing Business As | STATE PHARM |
| Entity Type | Organization |
| Authorized Contact | KIM GORSKI Owner 502-583-5636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07455) |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2015-06-10 |