| NPI | 1760571459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD ALLEN VP 502-266-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2008-01-21 |