Provider Demographics
NPI:1356937924
Name:PRICE, LYNDSI (PHARMD)
Entity type:Individual
Prefix:
First Name:LYNDSI
Middle Name:
Last Name:PRICE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1737 4TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:LE MARS
Mailing Address - State:IA
Mailing Address - Zip Code:51031-8817
Mailing Address - Country:US
Mailing Address - Phone:712-540-6195
Mailing Address - Fax:
Practice Address - Street 1:22 1ST ST NE STE A
Practice Address - Street 2:
Practice Address - City:LE MARS
Practice Address - State:IA
Practice Address - Zip Code:51031-3547
Practice Address - Country:US
Practice Address - Phone:712-546-8005
Practice Address - Fax:712-546-8009
Is Sole Proprietor?:No
Enumeration Date:2020-12-17
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA23168183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist