Lynda Anne Ambrose, RPH
Individual provider Active NPI Pharmacist · Laporte, PA
NPI 1295955813 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295955813
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP029383L (PA)
- Practice address
- Main and King Street
Laporte, PA 18626 - Phone
- (570) 946-4116
- Fax
- (570) 946-4322
- NPI assigned
- Apr 26, 2007
- 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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10803 | CO | MD | Pharmacist |
| RP029383L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Universal Medical Suppliers Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10803 | CO | |
| Pharmacist | 183500000X | RP029383L | PA | Yes |
Addresses
Primary practice location
Main and King Street
Laporte, PA 18626
Mailing address
PO Box V
Laporte, PA 18626
Phone (570) 946-4116
Other providers in Laporte, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.