MEDICARE: DR. AUTUMN LYN STEWART-LYNCH 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	1835P1200X	Pharmacotherapy Pharmacist	03226555	OH
2	1835P1200X	Pharmacotherapy Pharmacist	RP439413	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RP439413	OTHER	PA	STATE LICENSE NUMBER
2	03226555	OTHER	OH	STATE LICENSE NUMBER

General Provider Information

NPI Number	:	1952308116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AUTUMN LYN STEWART-LYNCH PHARMD.

Provider Business Mailing Address
First Line	:	600 FORBES AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15219-3016
Country	:	US
Telephone Number	:	412-396-1321
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 FORBES AVE
Second Line	:	BAYER 316 LEARNING CENTER
City	:	PITTSBURGH
State	:	PA
Zip	:	15219-3016
Country	:	US
Telephone Number	:	412-396-1321
Fax Number	:

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

Provider Enumeration Date	:	07/02/2005
Last Update Date	:	08/29/2017

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