| NPI | 1760149413 |
|---|---|
| Doing Business As | CCMH OUTPATIENT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY HAVERLY CEO 502-732-3230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2022-02-25 |