Provider Demographics
NPI:1982706669
Name:LINDSAY, 503JOHN MORGAN (REG PHARM BS)
Entity Type:Individual
Prefix:MR
First Name:503JOHN
Middle Name:MORGAN
Last Name:LINDSAY
Suffix:
Gender:M
Credentials:REG PHARM BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 N FORESTVIEW CT
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67235-8215
Mailing Address - Country:US
Mailing Address - Phone:316-722-0689
Mailing Address - Fax:
Practice Address - Street 1:2131 N RIDGE RD
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67212-1570
Practice Address - Country:US
Practice Address - Phone:316-722-7227
Practice Address - Fax:316-782-2745
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS08561183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist