Organization
EASTLAND PHARMACY LLC
Active
Other names
Eastland Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH STEWART (OWNER)
(859) 309-0960
Entity
Organization
Contact information
Practice address
1301 WINCHESTER RD STE 69, LEXINGTON, KY 40505-4132
(859) 309-0960
(859) 309-0951
Mailing address
5300 RAVEN CREEK CT, LEXINGTON, KY 40515-8518
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100798680
—
KY
Enumeration date
12/29/2021
Last updated
05/06/2023
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