Provider Demographics
NPI:1528619418
Name:GROW, LINDSEY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:
Last Name:GROW
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4305 WINSTON AVE.
Mailing Address - Street 2:
Mailing Address - City:LATONIA
Mailing Address - State:KY
Mailing Address - Zip Code:41015-2214
Mailing Address - Country:US
Mailing Address - Phone:859-992-0867
Mailing Address - Fax:
Practice Address - Street 1:175 OUTER LOOP
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40214-5544
Practice Address - Country:US
Practice Address - Phone:502-361-8299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-23
Last Update Date:2024-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03439064183500000X
KY020892183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist