Provider Demographics
NPI:1659850188
Name:LLAYTON, CHELSEY (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHELSEY
Middle Name:
Last Name:LLAYTON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 VINE ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40204-2023
Mailing Address - Country:US
Mailing Address - Phone:606-261-0076
Mailing Address - Fax:
Practice Address - Street 1:3922 WILLIS AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4911
Practice Address - Country:US
Practice Address - Phone:502-690-4462
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-06
Last Update Date:2018-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY020114183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist