Provider Demographics
NPI:1073598397
Name:LINDSAY DRUG CO.,INC
Entity Type:Organization
Organization Name:LINDSAY DRUG CO.,INC
Other - Org Name:LINDSAY DRUG CO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAGHU
Authorized Official - Middle Name:
Authorized Official - Last Name:THOTA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:518-235-2522
Mailing Address - Street 1:416 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12182-3007
Mailing Address - Country:US
Mailing Address - Phone:518-235-2522
Mailing Address - Fax:518-235-5932
Practice Address - Street 1:416 5TH AVE
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12182-3007
Practice Address - Country:US
Practice Address - Phone:518-235-2522
Practice Address - Fax:518-235-5932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-09
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NY0188483336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2057224OtherPK
NY00918649Medicaid
2057224OtherPK