| NPI | 1942540430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY JOYCE LOGSDON Owner 270-499-0788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07551) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2013-02-21 |