Organization · Type 2 NPI

Wedgewood Pharmacy LLC

Mail Order Pharmacy · Lexington, KY

NPI number 1023779212 Active

Practice location

4340 Georgetown Road
Lexington, KY 40511-9115

Call (859) 389-7470 Map

Fax (856) 491-4365

Mailing address

405 Heron Drive, Suite 200
Swedesboro, NJ 08085

Specialties and licenses

Taxonomy	Code	License
Mail Order Pharmacy Primary	3336M0002X	None listed

Mail Order Pharmacy: A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical c…

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NPI record

NPI: 1023779212
Entity type: Organization (Type 2)
Issued: Jan 10, 2022
Last updated: May 27, 2025
Status: Active

Other names

<unavail>
Wickliffe Veterinary Pharmacy · doing business as
Wickliffe LLC · former legal business name

Authorized official

Alejandro Bernal-Angel
Chief Executive Officer, Secretary
(973) 307-7154

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1023779212

Wedgewood Pharmacy LLC's National Provider Identifier is 1023779212, issued on Jan 10, 2022. The primary taxonomy on file is Mail Order Pharmacy (3336M0002X), and the practice location is in Lexington, KY. The record was last updated on May 27, 2025.