Keith D Lyke, RPH is a
Pharmacist based in Killingworth, Connecticut. Keith D Lyke is licensed to practice in Connecticut (license number 7806) and his current practice location is
183 Route 81, Killingworth, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(860) 452-4275.
NPI number for Keith D Lyke is 1417535691 and his current mailing address is 16 Brault Hill Rd, Higganum, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417535691.
Healthcare Provider's Profile
| Full Name | Keith D Lyke |
|---|
| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 183 Route 81, Killingworth, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417535691
- Provider Enumeration Date: 03/30/2021
- Last Update Date: 03/30/2021
Medical Identifiers
Medical identifiers for Keith D Lyke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417535691 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 7806 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keith D Lyke is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Keith D Lyke, RPH
16 Brault Hill Rd,
Higganum, CT 06441-4442
Ph: (860) 685-1967 | Keith D Lyke, RPH
183 Route 81,
Killingworth, CT 06419-1480
Ph: (860) 452-4275 |
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