| NPI | 1720818511 |
|---|---|
| Doing Business As | FOUNTAIN SQUARE PHARMACY LTC |
| Former Legal Business Name | FOUNTAIN SQUARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MAURICE MCGLONE Pharmacist/Owner 606-248-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2024-08-06 |