| NPI | 1790920783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ORMES CEO 270-442-4579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY P07316) |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2023-03-07 |