Provider Demographics
NPI:1548922065
Name:SPENCE, CHELSEA LYNN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:LYNN
Last Name:SPENCE
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 1:1502 RIVET PATH
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40324-8119
Mailing Address - Country:US
Mailing Address - Phone:606-233-3382
Mailing Address - Fax:
Practice Address - Street 1:1822 MAIN ST
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:KY
Practice Address - Zip Code:40361-1109
Practice Address - Country:US
Practice Address - Phone:859-900-0330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-12
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY022236183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist