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NPI Code Detail

MEDICARE: CHRISTIE LYNN RALEIGH

MEDICARE:   CHRISTIE LYNN RALEIGH
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 Specialist010074KY

General Provider Information

NPI Number : 1801409883
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTIE LYNN RALEIGH
Provider Business Mailing Address
First Line : 5533 NEW CUT RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40214-4329
Country : US
Telephone Number : 502-361-5943
Fax Number : 502-361-7129
Provider Business Practice Location Address
First Line : 5533 NEW CUT RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40214-4329
Country : US
Telephone Number : 502-361-5943
Fax Number : 502-361-7129
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2020
Last Update Date : 08/28/2020

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Directions to “ CHRISTIE LYNN RALEIGH ” Practice Location

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