Healthcare Provider Details

I. General information

NPI: 1295816791
Provider Name (Legal Business Name): LEXINGTON DISCOUNT DRUGS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 04/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

148 W CHURCH ST
LEXINGTON TN
38351-2069
US

IV. Provider business mailing address

148 W CHURCH ST
LEXINGTON TN
38351-2069
US

V. Phone/Fax

Practice location:
  • Phone: 731-968-4201
  • Fax: 731-967-5222
Mailing address:
  • Phone: 731-968-4201
  • Fax: 731-967-5222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number2333
License Number StateTN

VIII. Authorized Official

Name: MRS. VIRGINIA DEANNE PACE
Title or Position: OWNER/MANAGING EMPLOYEE
Credential: PHARMD
Phone: 731-968-4201