Alicia Lynn
Individual provider Active NPI Pharmacist · Lenox, IA
NPI 1164844155 · NPPES record last updated Jan 10, 2014
Key facts
- NPI
- 1164844155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 21963 (IA)
- Practice address
- 107 N Main St
Lenox, IA 50851-1237 - Phone
- (641) 333-2260
- Fax
- (641) 333-2506
- NPI assigned
- Jan 10, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21963 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenfield Pharmacy LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21963 | IA | Yes |
Addresses
Primary practice location
107 N Main St
Lenox, IA 50851-1237
Mailing address
107 N Main St
Lenox, IA 50851-1237
Phone (641) 333-2260
Other providers in Lenox, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.