| NPI | 1891327524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHWETA DESAI System Director, Community Pharmacy 502-530-4125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2025-05-28 |