| NPI | 1780973198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN HALTOM Director Of Pharmacy 859-239-1721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: KY 013624) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2011-04-06 |