Kendall Robert Lemke | Tyler, TX • PECOS Search

Kendall Robert Lemke

Pharmacist

Pharmacy Service Providers

5415 S Broadway Ave, Tyler, TX 75703-1397

PECOS Enrollment

Based on the most recent information from CMS, provider Kendall Robert Lemke does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1194072116
Provider Type
Individual
Full Name
Lemke, Kendall Robert
Title
Dr.
Credential
PHARM. D

Gender
Male
Sole Proprietor
No
Enumeration Date
8/8/2012
Last Updated
8/8/2012

Contact Information

Practice Location

5415 S Broadway Ave, Tyler, TX 75703-1397

Unlisted Fax

Mailing Location

5415 S Broadway Ave, Tyler, TX 75703-1397

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License 51458 Texas