Provider Demographics
NPI:1376171736
Name:LYN, AISHEIK JAMIE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:AISHEIK
Middle Name:JAMIE
Last Name:LYN
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 1:13593 150TH CT N
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33478-3529
Mailing Address - Country:US
Mailing Address - Phone:561-373-4959
Mailing Address - Fax:
Practice Address - Street 1:439 INDIANTOWN RD.
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458
Practice Address - Country:US
Practice Address - Phone:561-743-3896
Practice Address - Fax:561-743-3758
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-31
Last Update Date:2023-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS50727183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist