Healthcare Provider Details

I. General information

NPI: 1336611276
Provider Name (Legal Business Name): LINDSEY RERICK PHARMD, BCACP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2018
Last Update Date: 08/19/2021
Certification Date: 08/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 DAVES WAY
HAMBURG PA
19526-1413
US

IV. Provider business mailing address

419 CHALFONT PL
READING PA
19606-9159
US

V. Phone/Fax

Practice location:
  • Phone: 484-658-0313
  • Fax:
Mailing address:
  • Phone: 570-574-6882
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP451711
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: