| NPI | 1750376588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WHALEY President CEO 270-247-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: KY P00301) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY P00301) |
| 252Y00000X Early Intervention Provider Agency | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P00301) | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: KY P00301) | |
| 3336I0012X Pharmacy, Institutional Pharmacy (Licence: KY P00301) | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: KY P00301) | |
| 3336N0007X Pharmacy, Nuclear Pharmacy (Licence: KY P00301) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: KY P00301) | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2016-03-30 |