Tricare Pharmacy Network

NPI 1245366608 - Pharmacy - 333600000X

NPI Details
NPI 1245366608
Enumeration Date 02/27/2007
Last Updated 08/15/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DAREN DAREN
Position OWNER
Phone (859) 277-2271
Fax (859) 277-1532
Practice Location
1051 NEWTOWN PIKE STE 140
LEXINGTON KY, 40511-1245, US
Phone (859) 277-2271
Fax (859) 277-1532
Business Location
1051 NEWTOWN PIKE STE 140
LEXINGTON KY, 40511-1245, US
Phone (859) 277-2271
Fax (859) 277-1532
Toxanomy
Taxonomy Code 333600000X
License State Kentucky
License Number P06668
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According to our database, Tricare Pharmacy Network NPI is 1245366608, taxonomy code is 333600000X and license number is P06668, license state is located at Kentucky. Tricare Pharmacy Network physically located at 1051 Newtown Pike Ste 140, Lexington KY, 40511-1245. NPI Number 1033115704 has the healthcare provider type.

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1245366608 NPI number is provided on an as is basis without warranty of any kind. 1245366608 is maintained by the National Plan & Provider Enumeration System. The contents of Tricare Pharmacy Network are for informational purposes only.