NPI | 1770904989 |
---|---|
Doing Business As | PLAZA DRUG OF LONDON |
Entity Type | Organization |
Authorized Contact | MICHAEL SIZEMORE Owner 606-657-5245 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07655) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
333600000X Pharmacy | |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2013-12-16 |
Last Update Date | 2020-12-30 |