Healthcare Provider Details

I. General information

NPI: 1568000198
Provider Name (Legal Business Name): LINDSEY E URBATCHKA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2019
Last Update Date: 12/13/2019
Certification Date: 12/13/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6016 E EDGEMONT AVE
SCOTTSDALE AZ
85257-1049
US

IV. Provider business mailing address

6016 E EDGEMONT AVE
SCOTTSDALE AZ
85257-1049
US

V. Phone/Fax

Practice location:
  • Phone: 785-766-5998
  • Fax:
Mailing address:
  • Phone: 785-766-5998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS016704
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: