| NPI | 1831134030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE JONES PIC 859-986-6541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY PO6847) |
| Additional Taxonomies | 3336I0012X Pharmacy, Institutional Pharmacy |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-08-22 |