Provider Demographics
NPI:1588770739
Name:LINDLEY, MARY CATHERINE (RPH)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:CATHERINE
Last Name:LINDLEY
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 1:389 CLUBHOUSE DR APT I3
Mailing Address - Street 2:
Mailing Address - City:GULF SHORES
Mailing Address - State:AL
Mailing Address - Zip Code:36542-3406
Mailing Address - Country:US
Mailing Address - Phone:251-948-6776
Mailing Address - Fax:
Practice Address - Street 1:101 W LAUREL AVE
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-1966
Practice Address - Country:US
Practice Address - Phone:251-943-6661
Practice Address - Fax:251-943-9136
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11587183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist