Healthcare Provider Details

I. General information

NPI: 1447230164
Provider Name (Legal Business Name): LYNN DENISE MESSICK RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3463 SWEET AIR RD
PHOENIX MD
21131-1825
US

IV. Provider business mailing address

3463 SWEET AIR RD
PHOENIX MD
21131-1825
US

V. Phone/Fax

Practice location:
  • Phone: 410-666-8220
  • Fax: 410-666-9872
Mailing address:
  • Phone: 410-666-8220
  • Fax: 410-666-9872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number12820
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP439190
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: