Provider Demographics
NPI:1174283196
Name:LOMBARDO, LINDSAY (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:
Last Name:LOMBARDO
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2210 CINELLI ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-4269
Mailing Address - Country:US
Mailing Address - Phone:774-236-9348
Mailing Address - Fax:
Practice Address - Street 1:1720 AUGUSTA ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-2926
Practice Address - Country:US
Practice Address - Phone:864-977-8041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-20
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC43231183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist