| NPI | 1780795740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON L. BROWN Secretary 502-630-7429 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: VA 0201000954) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-02-13 |