Healthcare Provider Details

I. General information

NPI: 1952308116
Provider Name (Legal Business Name): AUTUMN LYN STEWART-LYNCH PHARMD.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2005
Last Update Date: 08/29/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 FORBES AVE BAYER 316 LEARNING CENTER
PITTSBURGH PA
15219-3016
US

IV. Provider business mailing address

600 FORBES AVE
PITTSBURGH PA
15219-3016
US

V. Phone/Fax

Practice location:
  • Phone: 412-396-1321
  • Fax:
Mailing address:
  • Phone: 412-396-1321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number03226555
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberRP439413
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: