| NPI | 1750750394 |
|---|---|
| Doing Business As | MY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | REBECCA FLETCHER Pharmacy Manager 502-439-7738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07716) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2018-11-21 |