Provider Demographics
NPI:1063845089
Name:CAYCE, LINDA (RPH)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:CAYCE
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 1:1314 BUCKHEAD TRL
Mailing Address - Street 2:
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-4191
Mailing Address - Country:US
Mailing Address - Phone:270-881-0400
Mailing Address - Fax:
Practice Address - Street 1:1314 BUCKHEAD TRL
Practice Address - Street 2:
Practice Address - City:MOUNT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-4191
Practice Address - Country:US
Practice Address - Phone:270-881-0400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-13
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN37270183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist