| NPI | 1730210956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHEYENNE BABER President 606-783-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY 1266) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: KY PO1266) |
| 3336C0002X Pharmacy, Clinic Pharmacy (Licence: KY 1266) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2024-11-20 |