Provider Demographics
NPI:1568000198
Name:URBATCHKA, LINDSEY E (PHARMD)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:E
Last Name:URBATCHKA
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 1:6016 E EDGEMONT AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257-1049
Mailing Address - Country:US
Mailing Address - Phone:785-766-5998
Mailing Address - Fax:
Practice Address - Street 1:6016 E EDGEMONT AVE
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85257-1049
Practice Address - Country:US
Practice Address - Phone:785-766-5998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-13
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS016704183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist