| NPI | 1972536159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON MACKEY Pharmacist 859-264-0337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07108) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |