Individual
LYNDSEY ALYSE RIDDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
9905 DIXIE HWY, LOUISVILLE, KY 40272-3943
(502) 995-2110
(502) 995-2165
Mailing address
9905 DIXIE HWY, LOUISVILLE, KY 40272-3943
(502) 995-2110
(502) 995-2165
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019847
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19847
KENTUCKY PHARMACIST LICENSE
KY
Enumeration date
05/29/2018
Last updated
05/29/2018
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