Provider Demographics
NPI:1962818088
Name:ZOLLER, LINDSEY ERIN (PHARMD)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:ERIN
Last Name:ZOLLER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:ERIN
Other - Last Name:GURLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:814 JONES AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKMART
Mailing Address - State:GA
Mailing Address - Zip Code:30153-1920
Mailing Address - Country:US
Mailing Address - Phone:678-231-0042
Mailing Address - Fax:
Practice Address - Street 1:1275 CAROLINE ST NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30307-2705
Practice Address - Country:US
Practice Address - Phone:404-260-0201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-09
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH027928183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist