| NPI | 1861267007 |
|---|---|
| Doing Business As | KENTUCKY MOUNTAIN HEALTH ALLIANCE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | REBECCA CHEEK 340 B Coordinator 606-487-9505 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-11-17 |
| Last Update Date | 2023-11-17 |