Provider Demographics
NPI:1649782442
Name:CARR, LINDSAY KAYE (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:KAYE
Last Name:CARR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:LINDSAY
Other - Middle Name:KAYE
Other - Last Name:GUTTUSO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:228 CHLOE CT
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36303-6807
Mailing Address - Country:US
Mailing Address - Phone:985-237-9093
Mailing Address - Fax:
Practice Address - Street 1:850 BOLL WEEVIL CIR
Practice Address - Street 2:
Practice Address - City:ENTERPRISE
Practice Address - State:AL
Practice Address - Zip Code:36330-2080
Practice Address - Country:US
Practice Address - Phone:334-347-9949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-02
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC37255183500000X
GA030585183500000X
AL20850183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist