Lynnette Borgman, PHARM.D
Individual provider Active NPI Pharmacist · Arroyo Grande, CA
NPI 1306976659 · NPPES record last updated Jan 25, 2012
Key facts
- NPI
- 1306976659
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH30351 (CA)
- Practice address
- 1051 E Grand Ave
Arroyo Grande, CA 93420-2504 - Phone
- (805) 481-1961
- Fax
- (805) 481-4927
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH30351 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH30351 | CA | Yes |
Addresses
Primary practice location
1051 E Grand Ave
Arroyo Grande, CA 93420-2504
Mailing address
335 Old Ranch Rd
Arroyo Grande, CA 93420-2600
Phone (805) 481-2111
Other providers in Arroyo Grande, CA
- Jessica Marie Blanco
- Bluebird Behavior Support LLC
- Brent Robert Bluett
- Megan Bochum
- Kathryn Joan Boland
- Kathleen Bornino
- Michael Bosio
- Brittany Bovee
- Wilfred Gordon Bowman Jr.
- Dorthy A Boyce
All providers in Arroyo Grande, CA · Pharmacist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2012. 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.