Provider Demographics
NPI:1346688942
Name:PETERS, LINDSEY M (PHARMD)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:M
Last Name:PETERS
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 1:1271 MEADOWLANDS DR
Mailing Address - Street 2:
Mailing Address - City:FAIRBORN
Mailing Address - State:OH
Mailing Address - Zip Code:45324-4369
Mailing Address - Country:US
Mailing Address - Phone:513-504-1143
Mailing Address - Fax:
Practice Address - Street 1:1271 MEADOWLANDS DR
Practice Address - Street 2:
Practice Address - City:FAIRBORN
Practice Address - State:OH
Practice Address - Zip Code:45324-4369
Practice Address - Country:US
Practice Address - Phone:513-504-1143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-05
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03232847-2183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist