| NPI | 1801345111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED ENNENBACH CEO 502-425-0500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: KY P07786) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-27 |