Provider Demographics
NPI:1710634621
Name:LYNE, LUCY (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:LUCY
Middle Name:
Last Name:LYNE
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 WHITE CLAY CENTER DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-5455
Mailing Address - Country:US
Mailing Address - Phone:610-742-8662
Mailing Address - Fax:
Practice Address - Street 1:2 COOPERSHAWK LN
Practice Address - Street 2:
Practice Address - City:CHADDS FORD
Practice Address - State:PA
Practice Address - Zip Code:19317-9714
Practice Address - Country:US
Practice Address - Phone:610-742-8662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-10
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP032732L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist