| NPI | 1932131356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN HAYDEN Pres. 270-653-2151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P02262) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 90010539) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2022-04-11 |