Provider Demographics
NPI:1053492561
Name:LYNCH, SHALINI S (PHARMD)
Entity Type:Individual
Prefix:
First Name:SHALINI
Middle Name:S
Last Name:LYNCH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5051 ASHLEY WOODS DR
Mailing Address - Street 2:
Mailing Address - City:GRANITE BAY
Mailing Address - State:CA
Mailing Address - Zip Code:95746-6492
Mailing Address - Country:US
Mailing Address - Phone:916-783-9141
Mailing Address - Fax:916-783-9123
Practice Address - Street 1:521 PARNASSUS AVENUE ROOM C-152
Practice Address - Street 2:UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0622
Practice Address - Country:US
Practice Address - Phone:415-476-2352
Practice Address - Fax:415-476-6632
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA45685183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA45685OtherREGISTERED PHARMACIST