Basic Information
| Provider Information | |||||||||
| NPI: | 1538415898 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DIMARCO | ||||||||
| FirstName: | ABBEY | ||||||||
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| Credential: | PHARM.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 251 CHIPPEN DALE CIR | ||||||||
| Address2: | 1223 | ||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405174464 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2195451434 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1101 VETERANS DR | ||||||||
| Address2: | ROOM 172 | ||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405022235 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8592334511 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/24/2012 | ||||||||
| LastUpdateDate: | 07/24/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 016181 | KY | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.