Provider Demographics
NPI:1295341741
Name:JUDY, LINDSEY CHRISTINE (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:CHRISTINE
Last Name:JUDY
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 97
Mailing Address - Street 2:
Mailing Address - City:MOUNT CARBON
Mailing Address - State:WV
Mailing Address - Zip Code:25139-0097
Mailing Address - Country:US
Mailing Address - Phone:304-389-4470
Mailing Address - Fax:
Practice Address - Street 1:72 WHITEWATER AVE
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:WV
Practice Address - Zip Code:25840-9648
Practice Address - Country:US
Practice Address - Phone:304-574-2071
Practice Address - Fax:304-574-0824
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-21
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP00076581835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup - Single Specialty