Provider Demographics
NPI:1083119168
Name:PLATT, THOMAS (PHARMD, PHD, MBA, BC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:
Last Name:PLATT
Suffix:
Gender:M
Credentials:PHARMD, PHD, MBA, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 ROSE ST OFC H110
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-7001
Mailing Address - Country:US
Mailing Address - Phone:859-323-4742
Mailing Address - Fax:859-323-2049
Practice Address - Street 1:531 WELLINGTON WAY OFC 321
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-1482
Practice Address - Country:US
Practice Address - Phone:595-621-7328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-29
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY019959183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist