NPI 1346984051

Keaton Lloyd Prebble, PHARMACYINTERN

Practitioner Community/Retail Pharmacy Lexington, KY

Practice location

Address: 4101 Tates Creek Centre Dr STE 156, Lexington, KY 40517-3096
Phone: (859) 273-0222

Registered specialties

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence I14688 (KY)

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Registry record

NPI: 1346984051
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Apr 2022
Record last updated: 27 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.