| NPI | 1831304799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE K PPOOL CEO 270-365-3903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2008-10-06 |