| NPI | 1942156237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON BROWN Secretary 502-630-7429 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2026-03-09 |
| Last Update Date | 2026-03-09 |