Healthcare Provider Details

I. General information

NPI: 1528237534
Provider Name (Legal Business Name): CATHY LYNNE EDWARDS R.PH.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2008
Last Update Date: 02/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 EASTERN BYP
RICHMOND KY
40475-2751
US

IV. Provider business mailing address

108 LAKE POINT DR
RICHMOND KY
40475-3821
US

V. Phone/Fax

Practice location:
  • Phone: 859-625-3143
  • Fax: 859-625-3541
Mailing address:
  • Phone: 859-623-2738
  • Fax: 859-625-3541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number9304
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: