| NPI | 1982718961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LEMASTER Manager 606-789-9988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07841) |
| Additional Taxonomies | 333600000X Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2022-11-07 |