| NPI | 1780855023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA FRAZIER Owner 606-349-3135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: KY P00834) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY P00834) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P00834) | |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2019-02-04 |