MEDICARE: LINDSAY MALPHRUS RPH, 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	RPH-027386	GA

General Provider Information

NPI Number	:	1518502269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY MALPHRUS RPH, PHARMD

Provider Business Mailing Address
First Line	:	5670 PEACHTREE DUNWOODY RD STE 810
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-4717
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5670 PEACHTREE DUNWOODY RD STE 810
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-4717
Country	:	US
Telephone Number	:	404-851-6310
Fax Number	:

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

Provider Enumeration Date	:	11/16/2019
Last Update Date	:	11/17/2022

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