Provider Demographics
NPI:1366728362
Name:WASCO, LINDSEY ELIZABETH (PHARMD)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:ELIZABETH
Last Name:WASCO
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 1:1825 E MARSHALL ST
Mailing Address - Street 2:#251
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-7381
Mailing Address - Country:US
Mailing Address - Phone:216-402-8033
Mailing Address - Fax:
Practice Address - Street 1:1825 E MARSHALL ST
Practice Address - Street 2:#251
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223-7381
Practice Address - Country:US
Practice Address - Phone:216-402-8033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-23
Last Update Date:2011-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03331070-3183500000X
VA0202210687183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist