Individual
MR. EVAN LAWSON ENDICOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
740 SOUTH LIMESTONE, J134, LEXINGTON, KY 40536
(859) 323-5855
(859) 323-1056
Mailing address
740 SOUTH LIMESTONE, J134, LEXINGTON, KY 40536
(859) 323-5855
(859) 323-1056
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
018718
KY
Other
Enumeration date
08/28/2016
Last updated
11/21/2017
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