Provider Demographics
NPI:1942340203
Name:CARWILE, LYNDI WATSON (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LYNDI
Middle Name:WATSON
Last Name:CARWILE
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 1:409 BROWN AVE
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:SC
Mailing Address - Zip Code:29627
Mailing Address - Country:US
Mailing Address - Phone:864-338-8217
Mailing Address - Fax:
Practice Address - Street 1:727 ANDERSON ST
Practice Address - Street 2:
Practice Address - City:BELTON
Practice Address - State:SC
Practice Address - Zip Code:29627
Practice Address - Country:US
Practice Address - Phone:864-338-8217
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10028183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist