| NPI | 1992718084 |
|---|---|
| Doing Business As | LAKER DRUG |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY D CARNES President 270-343-2336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P06839) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY P06839) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2008-03-17 |