Provider Demographics
NPI:1043599301
Name:HIGGINS, LINDA MARIE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:MARIE
Last Name:HIGGINS
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 1:333 ROUSER RD
Mailing Address - Street 2:BUILDING #4, SUITE 503
Mailing Address - City:MOON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:15108-2773
Mailing Address - Country:US
Mailing Address - Phone:717-691-6257
Mailing Address - Fax:877-273-1414
Practice Address - Street 1:333 ROUSER RD
Practice Address - Street 2:BUILDING 4, SUITE 503
Practice Address - City:MOON TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:15108-2773
Practice Address - Country:US
Practice Address - Phone:717-691-6257
Practice Address - Fax:866-507-4584
Is Sole Proprietor?:No
Enumeration Date:2011-08-04
Last Update Date:2013-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP041110L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist