Provider Demographics
NPI:1407853021
Name:STAGGS, LYNDA C (RPH)
Entity type:Individual
Prefix:MS
First Name:LYNDA
Middle Name:C
Last Name:STAGGS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 ST CLAIR AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-5120
Mailing Address - Country:US
Mailing Address - Phone:256-518-9530
Mailing Address - Fax:256-518-9531
Practice Address - Street 1:409 ST CLAIR AVE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5120
Practice Address - Country:US
Practice Address - Phone:256-518-9530
Practice Address - Fax:256-518-9531
Is Sole Proprietor?:No
Enumeration Date:2005-06-29
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6545183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist