Provider Demographics
NPI:1528069184
Name:UBER, LYNN ALEXANDRA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LYNN
Middle Name:ALEXANDRA
Last Name:UBER
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 1:581 CHIMNEY BLUFF DR
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-8167
Mailing Address - Country:US
Mailing Address - Phone:843-881-7570
Mailing Address - Fax:843-792-0566
Practice Address - Street 1:150 ASHLEY AVE
Practice Address - Street 2:RUTLEDGE TOWER ANNEX ROOM 607
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29401-5803
Practice Address - Country:US
Practice Address - Phone:843-792-8496
Practice Address - Fax:843-792-0566
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0068181835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy