Provider Demographics
NPI:1821122854
Name:GASCH, LINDSAY BETH (PHARM D)
Entity Type:Individual
Prefix:MS
First Name:LINDSAY
Middle Name:BETH
Last Name:GASCH
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 1:1400 S 600 E
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84105-2023
Mailing Address - Country:US
Mailing Address - Phone:262-442-9282
Mailing Address - Fax:
Practice Address - Street 1:1400 S 600 E
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84105-2023
Practice Address - Country:US
Practice Address - Phone:262-442-9282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY3186183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI14215-040OtherSTATE PHARMACY LICENSE
WYWY3186OtherSTATE PHARMACY LICENSE