Provider Demographics
NPI:1215138292
Name:DILLON, REGINA ANN (PHARM D)
Entity type:Individual
Prefix:DR
First Name:REGINA
Middle Name:ANN
Last Name:DILLON
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2019 OLD BOONESBOROUGH ROAD #2
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-9307
Mailing Address - Country:US
Mailing Address - Phone:859-527-0463
Mailing Address - Fax:
Practice Address - Street 1:1115 KIM KENT DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-2901
Practice Address - Country:US
Practice Address - Phone:859-623-5812
Practice Address - Fax:859-624-4350
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY012209183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist