Provider Demographics
NPI:1790971034
Name:LINDO, TRISHA NICOLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TRISHA
Middle Name:NICOLE
Last Name:LINDO
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 1:4136 HUNTERS HILL CIR
Mailing Address - Street 2:
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21133-5340
Mailing Address - Country:US
Mailing Address - Phone:410-363-4204
Mailing Address - Fax:
Practice Address - Street 1:8050 LIBERTY RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21244-2968
Practice Address - Country:US
Practice Address - Phone:411-496-2117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-20
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17676183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist