Provider Demographics
NPI:1215378971
Name:LINDGREN, ADRIANNA KRISTIN (PHARM-D)
Entity type:Individual
Prefix:
First Name:ADRIANNA
Middle Name:KRISTIN
Last Name:LINDGREN
Suffix:
Gender:F
Credentials:PHARM-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 SE WYOMING BLVD
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82609-4201
Mailing Address - Country:US
Mailing Address - Phone:307-577-7062
Mailing Address - Fax:307-266-4623
Practice Address - Street 1:300 SE WYOMING BLVD
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82609-4201
Practice Address - Country:US
Practice Address - Phone:307-577-7062
Practice Address - Fax:307-266-4623
Is Sole Proprietor?:No
Enumeration Date:2013-07-10
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY3663183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist