Provider Demographics
NPI:1669773115
Name:LENCZOWSKI, CHRISTY MARIE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:CHRISTY
Middle Name:MARIE
Last Name:LENCZOWSKI
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 1:1234 FINLEY RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38116-6414
Mailing Address - Country:US
Mailing Address - Phone:901-345-1341
Mailing Address - Fax:901-344-3501
Practice Address - Street 1:1234 FINLEY RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38116-6414
Practice Address - Country:US
Practice Address - Phone:901-345-1341
Practice Address - Fax:901-344-3501
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-14
Last Update Date:2010-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8033183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN8033OtherTENNESSEE BOARD OF PHARMACY