Healthcare Provider Details

I. General information

NPI: 1811584337
Provider Name (Legal Business Name): LINDSAY FERRELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2020
Last Update Date: 01/08/2021
Certification Date: 01/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 SLATE AVE
OWINGSVILLE KY
40360-2201
US

IV. Provider business mailing address

PO BOX 1119
OWINGSVILLE KY
40360-1119
US

V. Phone/Fax

Practice location:
  • Phone: 606-674-6979
  • Fax: 606-674-2637
Mailing address:
  • Phone: 606-674-6979
  • Fax: 606-674-2637

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number016666
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: