| NPI | 1801336045 |
|---|---|
| Doing Business As | LONG ACTING INJECTION CLINIC |
| Entity Type | Organization |
| Authorized Contact | BOB STELTENPOHL Vice President, Finance 502-587-4691 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07814) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |