Provider Demographics
NPI:1922721612
Name:NYAMOU, LYNDA MARIE (PHARMD)
Entity Type:Individual
Prefix:
First Name:LYNDA
Middle Name:MARIE
Last Name:NYAMOU
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 1:8161 HONEY BEE WAY APT 201
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20111-7212
Mailing Address - Country:US
Mailing Address - Phone:202-830-9746
Mailing Address - Fax:
Practice Address - Street 1:4338 DALE BLVD
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-2402
Practice Address - Country:US
Practice Address - Phone:703-680-2023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202220747183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist