Healthcare Provider Details

I. General information

NPI: 1154474492
Provider Name (Legal Business Name): LNK MEDS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 09/11/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12123 SHELBYVILLE RD STE 104
LOUISVILLE KY
40243-1079
US

IV. Provider business mailing address

12123 SHELBYVILLE RD STE 104
LOUISVILLE KY
40243-1079
US

V. Phone/Fax

Practice location:
  • Phone: 502-244-6500
  • Fax: 502-244-6588
Mailing address:
  • Phone: 502-244-6500
  • Fax: 502-244-6588

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: LANCE O IDLEMAN
Title or Position: MANAGER
Credential: RPH
Phone: 502-244-6500