| NPI | 1760789861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD L. L HARRIS Owner 606-549-0812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07019) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY MG0497) |
| 333600000X Pharmacy (Licence: KY P07019) | |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2012-05-14 |