| NPI | 1750529582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA LYNN TURNER CEO 502-489-5233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: KY 203111) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 203111) |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2009-02-02 |