Provider Demographics
NPI:1922346808
Name:SAMPSON, LINDSAY (PHARMD, BCPS)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:
Last Name:SAMPSON
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7397
Mailing Address - Street 2:ATTN: PHARMACY
Mailing Address - City:SHONTO
Mailing Address - State:AZ
Mailing Address - Zip Code:86054-7397
Mailing Address - Country:US
Mailing Address - Phone:928-672-3112
Mailing Address - Fax:928-672-3005
Practice Address - Street 1:1 MILE NORTH ON NAVAJO RT 16
Practice Address - Street 2:INSCRIPTION HOUSE HEALTH CENTER
Practice Address - City:SHONTO
Practice Address - State:AZ
Practice Address - Zip Code:86054-7397
Practice Address - Country:US
Practice Address - Phone:928-672-3112
Practice Address - Fax:928-672-3005
Is Sole Proprietor?:No
Enumeration Date:2013-01-28
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC203821835P1200X
TN335831835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy