Provider Demographics
NPI:1760073829
Name:WOODBERRY, LINDSAY (PHARM D)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:WOODBERRY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1572 HEBRON DUNBAR RD
Mailing Address - Street 2:
Mailing Address - City:CLIO
Mailing Address - State:SC
Mailing Address - Zip Code:29525
Mailing Address - Country:US
Mailing Address - Phone:843-439-0621
Mailing Address - Fax:
Practice Address - Street 1:517 LAUCHWOOD DR
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-5595
Practice Address - Country:US
Practice Address - Phone:910-276-1154
Practice Address - Fax:910-276-0082
Is Sole Proprietor?:No
Enumeration Date:2021-02-01
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18087183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist