Provider Demographics
NPI:1336789676
Name:HORD, MICHAEL TODD (RPH)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:TODD
Last Name:HORD
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3175 BEAUMONT CENTRE CIR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40513-1957
Mailing Address - Country:US
Mailing Address - Phone:859-219-1842
Mailing Address - Fax:859-219-1832
Practice Address - Street 1:3175 BEAUMONT CENTRE CIR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40513-1957
Practice Address - Country:US
Practice Address - Phone:859-219-1842
Practice Address - Fax:859-219-1832
Is Sole Proprietor?:No
Enumeration Date:2020-01-15
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY00100821835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist