| NPI | 1841833977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW SCHUYLER WINDHAM Pharmacist In Charge 859-353-6652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2020-09-09 |