Provider Demographics
NPI:1487943668
Name:NEAGLE, TROY LEE (RPH)
Entity type:Individual
Prefix:MR
First Name:TROY
Middle Name:LEE
Last Name:NEAGLE
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 1:394 N DIXIE ST
Mailing Address - Street 2:
Mailing Address - City:HORSE CAVE
Mailing Address - State:KY
Mailing Address - Zip Code:42749-1138
Mailing Address - Country:US
Mailing Address - Phone:270-678-7316
Mailing Address - Fax:
Practice Address - Street 1:394 N DIXIE ST
Practice Address - Street 2:
Practice Address - City:HORSE CAVE
Practice Address - State:KY
Practice Address - Zip Code:42749-1138
Practice Address - Country:US
Practice Address - Phone:270-786-1147
Practice Address - Fax:270-786-5215
Is Sole Proprietor?:No
Enumeration Date:2011-03-28
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY10451183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist