| NPI | 1942293246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES E BLANCHI Owner 606-679-4983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 333600000X Pharmacy (Licence: KY 1113) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2008-05-20 |