Provider Demographics
NPI:1609476704
Name:CRAIN, LINDSEY CAITLIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:CAITLIN
Last Name:CRAIN
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 1:1500 1ST ST
Mailing Address - Street 2:
Mailing Address - City:KENNETT
Mailing Address - State:MO
Mailing Address - Zip Code:63857-2522
Mailing Address - Country:US
Mailing Address - Phone:573-888-4543
Mailing Address - Fax:
Practice Address - Street 1:1500 1ST ST
Practice Address - Street 2:
Practice Address - City:KENNETT
Practice Address - State:MO
Practice Address - Zip Code:63857-2522
Practice Address - Country:US
Practice Address - Phone:573-888-4543
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-28
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017025944183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist