Provider Demographics
NPI:1538765623
Name:MCGRIFF, LYNDEN ALEXANDER (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LYNDEN
Middle Name:ALEXANDER
Last Name:MCGRIFF
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 NORMAL AVE
Mailing Address - Street 2:
Mailing Address - City:NORMAL
Mailing Address - State:IL
Mailing Address - Zip Code:61761-1528
Mailing Address - Country:US
Mailing Address - Phone:402-312-6338
Mailing Address - Fax:
Practice Address - Street 1:608 NORMAL AVE
Practice Address - Street 2:
Practice Address - City:NORMAL
Practice Address - State:IL
Practice Address - Zip Code:61761-1528
Practice Address - Country:US
Practice Address - Phone:402-312-6338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-05
Last Update Date:2020-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.291970183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL051.291970OtherIDPFR