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NPI Code Detail

MEDICARE: CHRISTIAN LYONS PHARMD

MEDICARE:   CHRISTIAN  LYONS  PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist021578KY
2183500000XPharmacist2602887AIN
3183500000XPharmacist0000044324TN

General Provider Information

NPI Number : 1578176913
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTIAN LYONS PHARMD
Provider Business Mailing Address
First Line : 4441 PECAN FOREST CT
Second Line :
City : MEMPHIS
State : TN
Zip : 38128-1445
Country : US
Telephone Number : 901-428-8882
Fax Number :
Provider Business Practice Location Address
First Line : 7769 W STATE ROUTE 66
Second Line :
City : NEWBURGH
State : IN
Zip : 47630-2544
Country : US
Telephone Number : 812-853-5339
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2020
Last Update Date : 11/27/2023

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Directions to “ CHRISTIAN LYONS PHARMD” Practice Location

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