Provider Demographics
NPI:1518198647
Name:BREIMAYER, LINDSEY JOY (PHARM D)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:JOY
Last Name:BREIMAYER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1821 DUFF RD
Mailing Address - Street 2:
Mailing Address - City:TWIN LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:49457-9088
Mailing Address - Country:US
Mailing Address - Phone:616-828-3020
Mailing Address - Fax:
Practice Address - Street 1:1821 DUFF RD
Practice Address - Street 2:
Practice Address - City:TWIN LAKE
Practice Address - State:MI
Practice Address - Zip Code:49457-9088
Practice Address - Country:US
Practice Address - Phone:269-832-5619
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53020360981835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care