| NPI | 1992041131 |
|---|---|
| Doing Business As | CLAY MEDICENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ROBERT CRUSE Owner/Manager 502-432-3621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: KY P07541) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2013-06-20 |