Provider Demographics
NPI:1013471093
Name:PINKSTON, MICHELE (PHARMD)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:
Last Name:PINKSTON
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 1:96 C MICHAEL DAVENPORT BLVD
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-4333
Mailing Address - Country:US
Mailing Address - Phone:502-227-2303
Mailing Address - Fax:502-227-2258
Practice Address - Street 1:275 E MAIN ST
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-2321
Practice Address - Country:US
Practice Address - Phone:502-227-2303
Practice Address - Fax:502-227-2258
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-24
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY010966183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist