Provider Demographics
NPI:1073808440
Name:LINNAN, KRISTINE MARIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KRISTINE
Middle Name:MARIE
Last Name:LINNAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1910 ALABAMA ST
Mailing Address - Street 2:AURORA PHARMACY
Mailing Address - City:STURGEON BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54235
Mailing Address - Country:US
Mailing Address - Phone:920-746-7340
Mailing Address - Fax:920-746-7277
Practice Address - Street 1:1910 ALABAMA ST
Practice Address - Street 2:AURORA PHARMACY
Practice Address - City:STURGEON BAY
Practice Address - State:WI
Practice Address - Zip Code:54235
Practice Address - Country:US
Practice Address - Phone:920-746-7340
Practice Address - Fax:920-746-7277
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-14
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI14096040183500000X
MN117542183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist