| NPI | 1801513858 |
|---|---|
| Doing Business As | KENTUCKYCARE PHARMACY 06 |
| Entity Type | Organization |
| Authorized Contact | STEVEN COLLIER CEO 870-347-2534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2023-09-05 |