Provider Demographics
NPI:1770475790
Name:COYNE, MADISON LYNN (PHARMD, MBA, RPH)
Entity type:Individual
Prefix:DR
First Name:MADISON
Middle Name:LYNN
Last Name:COYNE
Suffix:
Gender:F
Credentials:PHARMD, MBA, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 ROSEBURY CT NW
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-7716
Mailing Address - Country:US
Mailing Address - Phone:678-699-3509
Mailing Address - Fax:
Practice Address - Street 1:1912 JOE FRANK HARRIS PKWY SE
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-7312
Practice Address - Country:US
Practice Address - Phone:678-535-5187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-15
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH035585183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist