| NPI | 1982058517 |
|---|---|
| Doing Business As | PRINCETON DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | JIMMY L TUCKER Owner, President, CEO 270-365-5585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: KY P07858) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2023-04-16 |