Provider Demographics
NPI:1508454208
Name:MAHONEY, LINDSEY (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:
Last Name:MAHONEY
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:
Other - Last Name:ZOOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16411 10TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166-2933
Mailing Address - Country:US
Mailing Address - Phone:406-868-6050
Mailing Address - Fax:
Practice Address - Street 1:14901 4TH AVE SW STE 100
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-1906
Practice Address - Country:US
Practice Address - Phone:206-242-1202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH61073914183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist