Provider Demographics
NPI:1134413479
Name:BARTLETT, LYNDA PAIGE (PHARM D)
Entity type:Individual
Prefix:MRS
First Name:LYNDA
Middle Name:PAIGE
Last Name:BARTLETT
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:MISS
Other - First Name:LYNDA
Other - Middle Name:PAIGE
Other - Last Name:MCDANIEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:6064 MARSHA SHARP FWY
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79407-3726
Mailing Address - Country:US
Mailing Address - Phone:806-788-3601
Mailing Address - Fax:806-788-3611
Practice Address - Street 1:6064 MARSHA SHARP FWY
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79407-3726
Practice Address - Country:US
Practice Address - Phone:806-788-3601
Practice Address - Fax:806-788-3611
Is Sole Proprietor?:No
Enumeration Date:2011-06-03
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX47506183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist