Healthcare Provider Details

I. General information

NPI: 1255269726
Provider Name (Legal Business Name): JUSTIN PATRICK LINDSAY PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 E MCDOWELL RD
PHOENIX AZ
85006-2612
US

IV. Provider business mailing address

1930 W DESERT HOLLOW DR
PHOENIX AZ
85085-8670
US

V. Phone/Fax

Practice location:
  • Phone: 602-839-4556
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS023332
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: