Provider Demographics
NPI:1295903763
Name:LYNCH, JAMES P (R PH)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:P
Last Name:LYNCH
Suffix:
Gender:M
Credentials:R PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:17 WYOMING AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-1441
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:85 E PARK AVE
Practice Address - Street 2:PHARMACY
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-3597
Practice Address - Country:US
Practice Address - Phone:516-889-6704
Practice Address - Fax:516-889-6709
Is Sole Proprietor?:No
Enumeration Date:2008-02-18
Last Update Date:2008-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034981183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY039481OtherNYS BOARD OF PHARMACY