MEDICARE: DR. LAURIE MEEKS PHARMD

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
1	183500000X	Pharmacist	012458	KY

General Provider Information

NPI Number	:	1568058444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAURIE MEEKS PHARMD

Provider Business Mailing Address
First Line	:	160 CEDAR RIDGE PL
Second Line	:
City	:	PADUCAH
State	:	KY
Zip	:	42003-8989
Country	:	US
Telephone Number	:	859-608-2542
Fax Number	:

Provider Business Practice Location Address
First Line	:	160 CEDAR RIDGE PL
Second Line	:
City	:	PADUCAH
State	:	KY
Zip	:	42003-8989
Country	:	US
Telephone Number	:	859-608-2542
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2020
Last Update Date	:	12/15/2020

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