Healthcare Provider Details

I. General information

NPI: 1629281639
Provider Name (Legal Business Name): LINDSEY VOTAW PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 03/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2622 W CENTRAL AVE SUITE 302
WICHITA KS
67203-4969
US

IV. Provider business mailing address

2622 W CENTRAL AVE SUITE 302
WICHITA KS
67203-4969
US

V. Phone/Fax

Practice location:
  • Phone: 316-265-3300
  • Fax:
Mailing address:
  • Phone: 316-265-3300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number1-14251
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03-1-27228
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: