Provider Demographics
NPI:1972100147
Name:LINDSEY, MAUREEN E (RPH)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:E
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6342 CEDAR SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:MO
Mailing Address - Zip Code:63016-1612
Mailing Address - Country:US
Mailing Address - Phone:314-541-4159
Mailing Address - Fax:
Practice Address - Street 1:2100 MAPLEWOOD COMMONS DR
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:MO
Practice Address - Zip Code:63143-1015
Practice Address - Country:US
Practice Address - Phone:314-822-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-01
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO044175183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist