NPI | 1720537251 |
---|---|
Doing Business As | PLAZA DRUG OF LONDON |
Entity Type | Organization |
Authorized Contact | MIKE SIZEMORE Owner/President 606-657-5245 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: KY P07655) |
Additional Taxonomies | 333600000X Pharmacy |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2016-09-26 |
Last Update Date | 2017-02-28 |