Provider Demographics
NPI:1528347531
Name:CUEVAS, LINDSEY RACHELLE (PHARMD)
Entity type:Individual
Prefix:MISS
First Name:LINDSEY
Middle Name:RACHELLE
Last Name:CUEVAS
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 1:28180 HIGHWAY 603
Mailing Address - Street 2:
Mailing Address - City:PERKINSTON
Mailing Address - State:MS
Mailing Address - Zip Code:39573-3791
Mailing Address - Country:US
Mailing Address - Phone:228-493-3828
Mailing Address - Fax:
Practice Address - Street 1:10551 D'IBERVILLE BLVD
Practice Address - Street 2:
Practice Address - City:D'IBERVILLE
Practice Address - State:MS
Practice Address - Zip Code:39540
Practice Address - Country:US
Practice Address - Phone:228-392-3560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-08
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE11808183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist