Provider Demographics
NPI:1205111358
Name:COLLETT, LINDSEY (PHARM D)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:COLLETT
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1802 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40701-2446
Mailing Address - Country:US
Mailing Address - Phone:606-258-1509
Mailing Address - Fax:606-258-1515
Practice Address - Street 1:8031 MCWHORTER RD
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-8720
Practice Address - Country:US
Practice Address - Phone:606-258-1509
Practice Address - Fax:606-258-1515
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY014562183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist