Provider Demographics
NPI:1316460439
Name:PARDUE, LYNDSEY LEWIS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LYNDSEY
Middle Name:LEWIS
Last Name:PARDUE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:LYNDSEY
Other - Middle Name:
Other - Last Name:LEWIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:12615 CHENAL PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-3323
Mailing Address - Country:US
Mailing Address - Phone:501-219-5135
Mailing Address - Fax:
Practice Address - Street 1:12615 CHENAL PKWY STE 300
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-3323
Practice Address - Country:US
Practice Address - Phone:501-219-5135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD10565183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR230636OtherNABP