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NPI Code Detail

MEDICARE: MICHAEL TODD HORD RPH

MEDICARE: MICHAEL TODD HORD RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist0010082KY

General Provider Information

NPI Number : 1336789676
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL TODD HORD RPH
Provider Business Mailing Address
First Line : 3175 BEAUMONT CENTRE CIR
Second Line :
City : LEXINGTON
State : KY
Zip : 40513-1957
Country : US
Telephone Number : 859-219-1842
Fax Number : 859-219-1832
Provider Business Practice Location Address
First Line : 3175 BEAUMONT CENTRE CIR
Second Line :
City : LEXINGTON
State : KY
Zip : 40513-1957
Country : US
Telephone Number : 859-219-1842
Fax Number : 859-219-1832
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2020
Last Update Date : 01/15/2020

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