Provider Demographics
NPI:1548569593
Name:MCMANUS, LINDY GRAY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LINDY
Middle Name:GRAY
Last Name:MCMANUS
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 1:398 HIGHWAY 51
Mailing Address - Street 2:RITE AID PHARMACY
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-3401
Mailing Address - Country:US
Mailing Address - Phone:601-853-9864
Mailing Address - Fax:601-898-9148
Practice Address - Street 1:398 HIGHWAY 51
Practice Address - Street 2:RITE AID PHARMACY
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-3401
Practice Address - Country:US
Practice Address - Phone:601-853-9864
Practice Address - Fax:601-898-9148
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-16
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-010256183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist