Organization
LYNNE INC
Active
Other names
EDMONTON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WOOD RPH (OWNER)
(270) 432-2822
Entity
Organization
Contact information
Practice address
903A W STOCKTON ST, EDMONTON, KY 42129
(270) 432-2822
(270) 432-7278
Mailing address
PO BOX 360, EDMONTON, KY 42129-0360
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07120
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1814400
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/24/2006
Last updated
02/18/2009
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