| NPI | 1972991784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN M REIS CEO/Manger 859-817-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: KY P07668) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2017-09-08 |