Provider Demographics
NPI:1225470727
Name:EDWARDS, LINDSEY JO (PHARM D)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:JO
Last Name:EDWARDS
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 1:135 FARM VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30115-6486
Mailing Address - Country:US
Mailing Address - Phone:770-893-8604
Mailing Address - Fax:
Practice Address - Street 1:6175 HICKORY FLAT HWY
Practice Address - Street 2:STE 140
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30115-7207
Practice Address - Country:US
Practice Address - Phone:770-345-8606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA027305183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist