Provider Demographics
NPI:1215791561
Name:LEXINGTON PHARMACIST GROUP LLC
Entity type:Organization
Organization Name:LEXINGTON PHARMACIST GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-585-1854
Mailing Address - Street 1:3344 PARTNER PL STE 1
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-3574
Mailing Address - Country:US
Mailing Address - Phone:859-365-2003
Mailing Address - Fax:859-365-2004
Practice Address - Street 1:3344 PARTNER PL STE 1
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-3574
Practice Address - Country:US
Practice Address - Phone:859-365-2003
Practice Address - Fax:859-365-2004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy