Provider Demographics
NPI:1215214242
Name:ARCHER, LYNDI MARIE (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:LYNDI
Middle Name:MARIE
Last Name:ARCHER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 E CHICAGO ST
Mailing Address - Street 2:
Mailing Address - City:COLDWATER
Mailing Address - State:MI
Mailing Address - Zip Code:49036-2042
Mailing Address - Country:US
Mailing Address - Phone:517-278-8272
Mailing Address - Fax:517-278-8352
Practice Address - Street 1:500 E CHICAGO ST
Practice Address - Street 2:
Practice Address - City:COLDWATER
Practice Address - State:MI
Practice Address - Zip Code:49036-2042
Practice Address - Country:US
Practice Address - Phone:517-278-8272
Practice Address - Fax:517-278-8352
Is Sole Proprietor?:No
Enumeration Date:2011-11-04
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302038364183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist