Provider Demographics
NPI:1588429609
Name:LINDHURST PHARMACY SERVICES INC
Entity type:Organization
Organization Name:LINDHURST PHARMACY SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANANDA
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:BALAKRISHNAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-741-9800
Mailing Address - Street 1:5991 LINDHURST AVE
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95901-6100
Mailing Address - Country:US
Mailing Address - Phone:530-741-9800
Mailing Address - Fax:530-741-9832
Practice Address - Street 1:5991 LINDHURST AVE
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:CA
Practice Address - Zip Code:95901-6100
Practice Address - Country:US
Practice Address - Phone:530-741-9800
Practice Address - Fax:530-741-9832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-19
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy