| NPI | 1780298075 |
|---|---|
| Doing Business As | MAYSVILLE PRIMARY PLUS PACK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHAD ERWIN EVANS Chief Clinical Officer 606-956-0188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |