| NPI | 1972923613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA HILL Senior Credentialing COO Rdinator 502-272-5165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: KY P07604) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2021-09-22 |