Provider Demographics
NPI:1124184700
Name:BRIDGES, LINDA CAROL (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:CAROL
Last Name:BRIDGES
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 1:5 N JEFFERSON ST
Mailing Address - Street 2:P O BOX 96
Mailing Address - City:WILSON
Mailing Address - State:AR
Mailing Address - Zip Code:72395-1127
Mailing Address - Country:US
Mailing Address - Phone:870-655-8415
Mailing Address - Fax:870-655-8676
Practice Address - Street 1:5 N JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:AR
Practice Address - Zip Code:72395-1127
Practice Address - Country:US
Practice Address - Phone:870-655-8415
Practice Address - Fax:870-655-8676
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR6703183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist