Provider Demographics
NPI:1689960916
Name:WEBER, LINDSEY N (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:N
Last Name:WEBER
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 1:1525 S POWER RD
Mailing Address - Street 2:T-0639
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-3707
Mailing Address - Country:US
Mailing Address - Phone:480-396-2307
Mailing Address - Fax:480-396-2307
Practice Address - Street 1:1525 S POWER RD
Practice Address - Street 2:T-0639
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-3707
Practice Address - Country:US
Practice Address - Phone:480-396-2307
Practice Address - Fax:480-396-2307
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-24
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS017400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist