Provider Demographics
NPI:1154926095
Name:LINSCOTT, ANDREW M (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:M
Last Name:LINSCOTT
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ANDY
Other - Middle Name:
Other - Last Name:LINSCOTT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:18565 BUSINESS 13
Mailing Address - Street 2:
Mailing Address - City:BRANSON WEST
Mailing Address - State:MO
Mailing Address - Zip Code:65737-9659
Mailing Address - Country:US
Mailing Address - Phone:417-272-8064
Mailing Address - Fax:
Practice Address - Street 1:18565 BUSINESS 13
Practice Address - Street 2:
Practice Address - City:BRANSON WEST
Practice Address - State:MO
Practice Address - Zip Code:65737-9659
Practice Address - Country:US
Practice Address - Phone:417-272-8064
Practice Address - Fax:417-272-0073
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-30
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008028086183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist