| NPI | 1750308730 |
|---|---|
| Doing Business As | BEREA DRUG |
| Entity Type | Organization |
| Authorized Contact | ROBERT LITTLE Owner, PIC 859-986-4521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07379) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2016-03-30 |