Provider Demographics
NPI:1700487113
Name:MUSCARI, LINDSEY (PHARM D)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:MUSCARI
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 1:1514 COVENTRY LN
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25314-2484
Mailing Address - Country:US
Mailing Address - Phone:304-688-8872
Mailing Address - Fax:
Practice Address - Street 1:1001 WARRIOR WAY
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:WV
Practice Address - Zip Code:25015-1300
Practice Address - Country:US
Practice Address - Phone:304-220-3008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0007662183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist