Organization
KOYAGI ENTERPRISES, LLC
Active
Other names
Midway Medicines
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAKESHI O KOYAGI PHARMD (CEO/PRESIDENT)
(859) 421-9388
Entity
Organization
Contact information
Practice address
106 S WINTER ST, MIDWAY, KY 40347
(859) 421-9388
Mailing address
106 S WINTER ST, MIDWAY, KY 40347
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
P07384
KY
Other
Enumeration date
02/25/2010
Last updated
02/25/2010
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