| NPI | 1922011444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | P DAVE WRIGHT CFO 270-247-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P06775) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY P06775) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2010-08-28 |