Healthcare Provider Details

I. General information

NPI: 1497037261
Provider Name (Legal Business Name): LINDSAY GRANT PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2011
Last Update Date: 06/18/2021
Certification Date: 06/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 BRIDGE ST
PELHAM NH
03076-2852
US

IV. Provider business mailing address

151 BRIDGE ST
PELHAM NH
03076-2852
US

V. Phone/Fax

Practice location:
  • Phone: 603-635-9153
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPR5925
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number3747
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: