Provider Demographics
NPI:1033329289
Name:GUGGEMOS, LYNDA A (RPH)
Entity type:Individual
Prefix:
First Name:LYNDA
Middle Name:A
Last Name:GUGGEMOS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:LYNDA
Other - Middle Name:
Other - Last Name:ROCKWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1024 W IVANHOE ST
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-3513
Mailing Address - Country:US
Mailing Address - Phone:480-812-3544
Mailing Address - Fax:
Practice Address - Street 1:4310 E COTTON CENTER BLVD STE 110
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85040-8857
Practice Address - Country:US
Practice Address - Phone:169-648-8229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ10958183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist