Individual
KEATON LLOYD PREBBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACY INTERN
Contact information
Practice address
4101 TATES CREEK CENTRE DR STE 156, LEXINGTON, KY 40517-3096
(859) 273-0222
Mailing address
4101 TATES CREEK CENTRE DR STE 156, LEXINGTON, KY 40517-3096
(859) 273-0222
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
I14688
KY
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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