Provider Demographics
NPI:1174819270
Name:MCCLISH, LINDSEY MARIE (PHARM D)
Entity type:Individual
Prefix:MS
First Name:LINDSEY
Middle Name:MARIE
Last Name:MCCLISH
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 MOCK RD
Mailing Address - Street 2:
Mailing Address - City:BELLVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44813-9198
Mailing Address - Country:US
Mailing Address - Phone:419-886-3033
Mailing Address - Fax:
Practice Address - Street 1:4920 S 107TH ST
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98178-2022
Practice Address - Country:US
Practice Address - Phone:971-701-0841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC61487455171100000X
OH06007460183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No183500000XPharmacy Service ProvidersPharmacist