NPI | 1730106550 |
---|---|
Doing Business As | MEDICA PHARMACY |
Entity Type | Organization |
Authorized Contact | J LEON CLAYWELL President/ CEO 502-543-2423 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: KY 1371) |
Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: KY P06095) |
Enumeration Date | 2006-07-16 |
Last Update Date | 2014-07-17 |