Provider Demographics
NPI:1407510118
Name:LYNCH, LYNNE MICHELLE (PHARMD)
Entity Type:Individual
Prefix:
First Name:LYNNE
Middle Name:MICHELLE
Last Name:LYNCH
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 1:821 INDIANAPOLIS RD
Mailing Address - Street 2:
Mailing Address - City:GREENCASTLE
Mailing Address - State:IN
Mailing Address - Zip Code:46135-1451
Mailing Address - Country:US
Mailing Address - Phone:765-653-1606
Mailing Address - Fax:
Practice Address - Street 1:821 INDIANAPOLIS RD
Practice Address - Street 2:
Practice Address - City:GREENCASTLE
Practice Address - State:IN
Practice Address - Zip Code:46135-1451
Practice Address - Country:US
Practice Address - Phone:765-653-1606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-28
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26029208A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist