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

Michael Dean Eastridge

Individual provider Pharmacist · NPI 1467117721

Michael Dean Eastridge is a Pharmacist in Lebanon, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2021
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Practice location Address checks out

361 Valley Ln
Lebanon, KY 40033-1620
Phone: (270) 699-5827
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 8018 (KY)

Record details

NPI number1467117721
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 2, 2021
Last updated in NPPESNovember 2, 2021
Certification dateNovember 2, 2021
Mailing address361 Valley Ln, Lebanon, KY 40033-1620

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