Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Keaton Lloyd Prebble, PHARMACYINTERN

Individual provider Community/Retail Pharmacy · NPI 1346984051

Keaton Lloyd Prebble, PHARMACYINTERN is a Community/Retail Pharmacy in Lexington, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2022
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Practice location Address checks out

4101 Tates Creek Centre Dr Ste 156
Lexington, KY 40517-3096
Phone: (859) 273-0222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence I14688 (KY)

Record details

NPI number1346984051
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMACYINTERN
Sole proprietorYes
NPI enumeratedApril 27, 2022
Last updated in NPPESApril 27, 2022
Certification dateApril 27, 2022

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