| NPI | 1831235480 |
|---|---|
| Doing Business As | MEDICINE SHOPPE |
| Entity Type | Organization |
| Authorized Contact | RANDALL BERRY CHAFFIN Owner Pharmacist 606-298-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY P01894) |
| 333600000X Pharmacy (Licence: KY P01894) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: KY P01894) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2023-03-07 |