Provider Demographics
NPI:1881147478
Name:WARDLOW, LYNN CHRISTIAN (PHARMD, BCPS-AQ ID)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:CHRISTIAN
Last Name:WARDLOW
Suffix:
Gender:F
Credentials:PHARMD, BCPS-AQ ID
Other - Prefix:
Other - First Name:LYNN
Other - Middle Name:CHRISTIAN
Other - Last Name:NELSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD, BCPS-AQ ID
Mailing Address - Street 1:410 W 10TH AVE
Mailing Address - Street 2:368 DOAN HALL
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43210-1240
Mailing Address - Country:US
Mailing Address - Phone:614-293-8470
Mailing Address - Fax:614-293-3165
Practice Address - Street 1:410 W 10TH AVE
Practice Address - Street 2:368 DOAN HALL
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1240
Practice Address - Country:US
Practice Address - Phone:614-293-8470
Practice Address - Fax:614-293-3165
Is Sole Proprietor?:No
Enumeration Date:2016-07-29
Last Update Date:2016-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH031361891835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist