Healthcare Provider Details

I. General information

NPI: 1316972987
Provider Name (Legal Business Name): WHEELER PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 01/12/2021
Certification Date: 01/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

336 ROMANY RD
LEXINGTON KY
40502
US

IV. Provider business mailing address

336 ROMANY RD
LEXINGTON KY
40502
US

V. Phone/Fax

Practice location:
  • Phone: 859-266-1131
  • Fax: 859-266-4591
Mailing address:
  • Phone: 859-266-1131
  • Fax: 859-266-4591

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberP00269
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CLAIRE W LEWIS
Title or Position: OWNER/PHARMACIST
Credential: RPH
Phone: 859-266-1131