| NPI | 1992104442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYCE A CHILDERS Owner/President 606-343-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07645) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2022-06-15 |