| NPI | 1801358601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOYCE DEAN SHOFNER Chief Executive Officer 606-886-8546 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2023-03-09 |