Organization
ETOWN INFUSION PHARMACY LLC
Active
Other names
Etown Vital Care
Organization subpart
No
Provider details
NPI number
Authorized official
NAVAS SOFIA YOONUS-KUNJU (CEO)
(615) 525-3142
Entity
Organization
Contact information
Practice address
914 N DIXIE AVE STE 101, ELIZABETHTOWN, KY 42701-2536
(270) 506-2463
(270) 506-2466
Mailing address
914 N DIXIE AVE STE 101, ELIZABETHTOWN, KY 42701-2536
(270) 506-2463
(270) 506-2466
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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