Provider Demographics
NPI:1003302449
Name:PEARSE, LINDA M (RPH)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:M
Last Name:PEARSE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 THOMASTON COMMONS WAY
Mailing Address - Street 2:
Mailing Address - City:THOMASTON
Mailing Address - State:ME
Mailing Address - Zip Code:04861-3524
Mailing Address - Country:US
Mailing Address - Phone:207-596-1060
Mailing Address - Fax:207-594-5980
Practice Address - Street 1:55 THOMASTON COMMONS WAY
Practice Address - Street 2:
Practice Address - City:THOMASTON
Practice Address - State:ME
Practice Address - Zip Code:04861
Practice Address - Country:US
Practice Address - Phone:207-596-1060
Practice Address - Fax:207-594-5980
Is Sole Proprietor?:No
Enumeration Date:2018-07-09
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR4025183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist