Healthcare Provider Details

I. General information

NPI: 1326648650
Provider Name (Legal Business Name): LINDSAY SNOW REULBACH PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2020
Last Update Date: 10/27/2020
Certification Date: 10/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 GROVE RD
GREENVILLE SC
29605-4210
US

IV. Provider business mailing address

15 CHARLOTTE ST
GREENVILLE SC
29607-1805
US

V. Phone/Fax

Practice location:
  • Phone: 864-455-1316
  • Fax: 864-455-1637
Mailing address:
  • Phone: 678-346-6050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number13841
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: