| NPI | 1730112301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON L. BROWN Secretary 502-630-7429 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: IN 60005275A) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2024-02-13 |