Healthcare Provider Details

I. General information

NPI: 1538330972
Provider Name (Legal Business Name): LINDSEYS HOMETOWN PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2008
Last Update Date: 03/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 E MCPHERSON AVE
NASHVILLE GA
31639-2267
US

IV. Provider business mailing address

407 E MCPHERSON AVE
NASHVILLE GA
31639-2267
US

V. Phone/Fax

Practice location:
  • Phone: 229-686-9339
  • Fax: 229-686-7888
Mailing address:
  • Phone: 229-686-9339
  • Fax: 229-686-7888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHRE009453
License Number StateGA
# 5
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHRISTINE LINDSEY
Title or Position: PHARMACIST
Credential: RPH
Phone: 229-686-9339