Healthcare Provider Details

I. General information

NPI: 1336050442
Provider Name (Legal Business Name): TARBOOC CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 HARRODSBURG RD STE 100
LEXINGTON KY
40504-3358
US

IV. Provider business mailing address

2525 HARRODSBURG RD STE 100
LEXINGTON KY
40504-3358
US

V. Phone/Fax

Practice location:
  • Phone: 859-786-5600
  • Fax:
Mailing address:
  • Phone: 859-786-5600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DARREL ALFORD
Title or Position: MANAGER
Credential:
Phone: 859-786-5600