Provider Demographics
NPI:1497476139
Name:LYNCH, KRISTIN A (PHARMDD)
Entity Type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:A
Last Name:LYNCH
Suffix:
Gender:F
Credentials:PHARMDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24530 CREEK CROSSING CT
Mailing Address - Street 2:
Mailing Address - City:ALDIE
Mailing Address - State:VA
Mailing Address - Zip Code:20105-2786
Mailing Address - Country:US
Mailing Address - Phone:703-327-1704
Mailing Address - Fax:
Practice Address - Street 1:5581 MERCHANTS VIEW SQ
Practice Address - Street 2:
Practice Address - City:HAYMARKET
Practice Address - State:VA
Practice Address - Zip Code:20169-5439
Practice Address - Country:US
Practice Address - Phone:571-248-4551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202204381835P0018X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist