Healthcare Provider Details

I. General information

NPI: 1104095686
Provider Name (Legal Business Name): LYNDA W. SYKES PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2008
Last Update Date: 02/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 GROVE RD
GREENVILLE SC
29605-5611
US

IV. Provider business mailing address

2924 SALUDA DAM RD
EASLEY SC
29640-8753
US

V. Phone/Fax

Practice location:
  • Phone: 864-455-7067
  • Fax: 864-455-4138
Mailing address:
  • Phone: 864-295-9542
  • Fax: 864-455-4138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number7898
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: