| NPI | 1912774050 |
|---|---|
| Doing Business As | KENTUCKY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | VY TRUONG CEO/PIC 781-975-0705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-12-08 |
| Last Update Date | 2024-01-27 |