Healthcare Provider Details

I. General information

NPI: 1407466881
Provider Name (Legal Business Name): LYNDSAY RENEE DICKSON PHARMD, RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2020
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 E MAIN ST
HEBRON OH
43025-8006
US

IV. Provider business mailing address

856 CORYLUS DR
PATASKALA OH
43062-7682
US

V. Phone/Fax

Practice location:
  • Phone: 740-928-2152
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03439873
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03439873
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: