Healthcare Provider Details

I. General information

NPI: 1982107348
Provider Name (Legal Business Name): GAVIN TAYLOR HOWINGTON PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2018
Last Update Date: 10/16/2023
Certification Date: 10/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 SOUTH LIMESTONE ST PHARMACY SERVICES
LEXINGTON KY
40536-0001
US

IV. Provider business mailing address

4533 BILTMORE PL
LEXINGTON KY
40515-5128
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-5901
  • Fax: 859-323-3040
Mailing address:
  • Phone: 859-608-1806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number017101
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: