Provider Demographics
NPI:1750766689
Name:MERRYMAN, LINDSEY PLOGGER (PHARMD)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:PLOGGER
Last Name:MERRYMAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:NICOLE
Other - Last Name:PLOGGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1249 BOYDEN PL NW
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-8088
Mailing Address - Country:US
Mailing Address - Phone:434-996-6604
Mailing Address - Fax:
Practice Address - Street 1:1605 E INNES ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28146-6022
Practice Address - Country:US
Practice Address - Phone:704-630-9866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-21
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC24762183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist