Provider Demographics
NPI:1235741885
Name:COMPTON, LINDSEY ANNE (PHARMD)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:ANNE
Last Name:COMPTON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 RABBIT BRUSH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTOLA
Mailing Address - State:CA
Mailing Address - Zip Code:96122-6609
Mailing Address - Country:US
Mailing Address - Phone:530-249-5641
Mailing Address - Fax:
Practice Address - Street 1:157 COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:PORTOLA
Practice Address - State:CA
Practice Address - Zip Code:96122-9606
Practice Address - Country:US
Practice Address - Phone:530-832-4218
Practice Address - Fax:530-832-1375
Is Sole Proprietor?:No
Enumeration Date:2020-08-17
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA83047183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist