Organization
NEW LEXINGTON CLINIC PSC
Active
Other names
LEXINGTON CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA HICKS RPH (SR. DIRECTOR OF OPERATIONS)
(859) 258-4228
Entity
Organization
Contact information
Practice address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4103
(859) 258-4555
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4103
(859) 258-4555
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
P02259
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2031652
PK
—
05
—
54025671
—
KY
Enumeration date
12/19/2006
Last updated
06/28/2016
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