Provider Demographics
NPI:1356423131
Name:LYNN S PHARMAY INC
Entity type:Organization
Organization Name:LYNN S PHARMAY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TROY R
Authorized Official - Middle Name:
Authorized Official - Last Name:LYNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-244-2780
Mailing Address - Street 1:606 SHELBY AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37206-4147
Mailing Address - Country:US
Mailing Address - Phone:615-244-2780
Mailing Address - Fax:615-248-1042
Practice Address - Street 1:606 SHELBY AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37206-4147
Practice Address - Country:US
Practice Address - Phone:615-244-2780
Practice Address - Fax:615-248-1042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2009-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9703336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4410205OtherNCPDP PROVIDER IDENTIFICATION NUMBER