Provider Demographics
NPI:1619488517
Name:EASTERBY, LINDSEY HALAVONICH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:HALAVONICH
Last Name:EASTERBY
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 1:3036 PLOW GROUND RD
Mailing Address - Street 2:
Mailing Address - City:JOHNS ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29455-4403
Mailing Address - Country:US
Mailing Address - Phone:843-860-5792
Mailing Address - Fax:
Practice Address - Street 1:975 BACONS BRIDGE RD UNIT 117
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29485-4189
Practice Address - Country:US
Practice Address - Phone:843-871-0473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-18
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC37413183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist