Provider Demographics
NPI:1689954208
Name:HAMADA, LINDSAY K
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:K
Last Name:HAMADA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7100 N ABBY ST
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-2920
Mailing Address - Country:US
Mailing Address - Phone:559-437-3642
Mailing Address - Fax:559-437-3663
Practice Address - Street 1:7100 N ABBY ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2920
Practice Address - Country:US
Practice Address - Phone:559-437-3642
Practice Address - Fax:559-437-3663
Is Sole Proprietor?:No
Enumeration Date:2011-08-26
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH25550183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist