MEDICARE: LINDSAY ANN VARLEY PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	64811	CA

General Provider Information

NPI Number	:	1396030656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY ANN VARLEY PHARMD

Provider Business Mailing Address
First Line	:	9745 LORRAINE WAY APT 102
Second Line	:
City	:	SANTEE
State	:	CA
Zip	:	92071-5237
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1665 ALPINE BLVD
Second Line	:
City	:	ALPINE
State	:	CA
Zip	:	91901-3859
Country	:	US
Telephone Number	:	619-659-1085
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2011
Last Update Date	:	06/15/2011

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