| NPI | 1740501543 |
|---|---|
| Doing Business As | MED-MART PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL SIZEMORE President 606-878-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07400) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2011-01-10 |