| NPI | 1780247288 |
|---|---|
| Doing Business As | ELY EXTENDED CARE |
| Entity Type | Organization |
| Authorized Contact | LASHELLE ENNIS Director Of Pharmacy 270-479-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2024-12-02 |