Healthcare Provider Details

I. General information

NPI: 1376950832
Provider Name (Legal Business Name): BARBARA MCHENRY-LYNN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2014
Last Update Date: 07/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2003 MEDICAL PKWY SUITE G10
ANNAPOLIS MD
21401-7992
US

IV. Provider business mailing address

2603 ANN ARBOR LN
BOWIE MD
20716-1377
US

V. Phone/Fax

Practice location:
  • Phone: 443-481-5826
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number09378
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: