Provider Demographics
NPI:1972843829
Name:COFFEY, LINDSEY H (CPHT)
Entity Type:Individual
Prefix:MS
First Name:LINDSEY
Middle Name:H
Last Name:COFFEY
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:C
Other - Last Name:HERNDON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:40 MOORE ST
Mailing Address - Street 2:
Mailing Address - City:WEAVERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28787-9426
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:40 MOORE ST
Practice Address - Street 2:
Practice Address - City:WEAVERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28787-9426
Practice Address - Country:US
Practice Address - Phone:828-645-9903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-28
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5801-0701-0265-085183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician