Provider Demographics
NPI:1417233388
Name:LYNCH, JAMES F (RPH)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:F
Last Name:LYNCH
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:164 NEW ALEXANDER ST
Mailing Address - Street 2:
Mailing Address - City:WILKES BARRE
Mailing Address - State:PA
Mailing Address - Zip Code:18702-2104
Mailing Address - Country:US
Mailing Address - Phone:570-970-1924
Mailing Address - Fax:
Practice Address - Street 1:330 S MAIN AVE
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18504-2585
Practice Address - Country:US
Practice Address - Phone:570-341-1429
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-24
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP038663L183500000X
AZ000014761183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist