| NPI | 1881611499 |
|---|---|
| Doing Business As | AVENUE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOHN VAAL VP, Pharmacist 859-491-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P06766) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2019-04-25 |