Organization
COLDSTREAM PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNE L. GRESHAM RPH (MANAGING MEMBER)
(859) 246-0112
Entity
Organization
Contact information
Practice address
1517 BULL LEA RD, SUITE 150, LEXINGTON, KY 40511-1200
(859) 246-0112
Mailing address
1517 BULL LEA RD, SUITE 150, LEXINGTON, KY 40511-1200
(859) 246-0112
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P07091
KY
Other
Enumeration date
03/28/2006
Last updated
08/22/2020
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