| NPI | 1740394527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT L SHEARER Owner Pharmacist 606-387-6616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P01501) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2019-01-23 |