Tricare Pharmacy Network
Pharmacy, Compounding Pharmacy in Lexington, KY. Organization (NPI-2).
NPI number1245366608
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1245366608
- Entity type
- Organization (NPI-2)
- Legal business name
- Tricare Pharmacy Network
- Organization subpart
- No
- Enumeration date
- Feb 27, 2007
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0004X | Pharmacy, Compounding Pharmacy | P06668 | KY | Yes |
| 333600000X | Pharmacy | P06668 | KY |
Practice location
1051 Newtown Pike Ste 140Lexington, KY 40511-1245
Phone 859-277-2271 · Fax 859-277-1532
Mailing address
1051 Newtown Pike Ste 140Lexington, KY 40511-1245
Phone 859-277-2271 · Fax 859-277-1532
Authorized official
Daren White
Owner
8592772271
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