| NPI | 1811517725 | 
|---|---|
| Doing Business As | WINDHAM DRUG NORTH | 
| Entity Type | Organization | 
| Authorized Contact | JUSTIN SMITH Vice President 606-549-4300 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy | 
| Enumeration Date | 2020-04-21 | 
| Last Update Date | 2020-04-21 |