Healthcare Provider Details

I. General information

NPI: 1255804993
Provider Name (Legal Business Name): LINDSEY TROTTER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2019
Last Update Date: 12/20/2023
Certification Date: 12/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6000 W HIGHWAY 98
PENSACOLA FL
32512-5909
US

IV. Provider business mailing address

1854 MARY JO WAY
PENSACOLA FL
32534-9302
US

V. Phone/Fax

Practice location:
  • Phone: 850-505-7001
  • Fax:
Mailing address:
  • Phone: 228-671-9940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number20563
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberPS61034
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: