Healthcare Provider Details

I. General information

NPI: 1366728362
Provider Name (Legal Business Name): LINDSEY ELIZABETH WASCO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2011
Last Update Date: 10/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 E MARSHALL ST #251
RICHMOND VA
23223-7381
US

IV. Provider business mailing address

1825 E MARSHALL ST #251
RICHMOND VA
23223-7381
US

V. Phone/Fax

Practice location:
  • Phone: 216-402-8033
  • Fax:
Mailing address:
  • Phone: 216-402-8033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03331070-3
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202210687
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: