Provider Demographics
NPI:1316796493
Name:RUDZIK, LINDSAY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:
Last Name:RUDZIK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 CLUBHOUSE DR
Mailing Address - Street 2:
Mailing Address - City:WEST MIDDLESEX
Mailing Address - State:PA
Mailing Address - Zip Code:16159-2204
Mailing Address - Country:US
Mailing Address - Phone:724-510-5888
Mailing Address - Fax:
Practice Address - Street 1:28 CONNEAUT LAKE RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:PA
Practice Address - Zip Code:16125-2167
Practice Address - Country:US
Practice Address - Phone:724-588-6337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP441901183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist