| NPI | 1992710511 |
|---|---|
| Doing Business As | FOUR RIVERS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | VICTOR SWAMI Owner 270-538-0772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: KY P06845) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2015-11-09 |