Provider Demographics
NPI:1366035578
Name:AZLIN, LINDSEY RAYNE (PHARM D)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:RAYNE
Last Name:AZLIN
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 1:211 E COKE RD
Mailing Address - Street 2:
Mailing Address - City:WINNSBORO
Mailing Address - State:TX
Mailing Address - Zip Code:75494-3213
Mailing Address - Country:US
Mailing Address - Phone:903-342-3669
Mailing Address - Fax:
Practice Address - Street 1:211 E COKE RD
Practice Address - Street 2:
Practice Address - City:WINNSBORO
Practice Address - State:TX
Practice Address - Zip Code:75494-3213
Practice Address - Country:US
Practice Address - Phone:903-342-3669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX49406183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist