Provider Demographics
NPI:1760168280
Name:ESCHENBACHER, LYNN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:
Last Name:ESCHENBACHER
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 1:1211 1ST AVE N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33705-1547
Mailing Address - Country:US
Mailing Address - Phone:866-234-4974
Mailing Address - Fax:
Practice Address - Street 1:1211 1ST AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-1547
Practice Address - Country:US
Practice Address - Phone:866-234-4974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39346183500000X
NC16112183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist