Healthcare Provider Details

I. General information

NPI: 1619801040
Provider Name (Legal Business Name): LINDSEY GUILBEAU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 W MARTINTOWN RD STE 153
NORTH AUGUSTA SC
29841-6135
US

IV. Provider business mailing address

401 W MARTINTOWN RD STE 153
NORTH AUGUSTA SC
29841-6135
US

V. Phone/Fax

Practice location:
  • Phone: 803-693-5514
  • Fax: 803-792-9066
Mailing address:
  • Phone: 803-693-5514
  • Fax: 803-792-9066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number42846
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: