Provider Demographics
NPI:1164917274
Name:DOYON, LINDA CATHERINE (RPH)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:CATHERINE
Last Name:DOYON
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 1:125 DANBURY RD
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06877-4139
Mailing Address - Country:US
Mailing Address - Phone:203-438-0340
Mailing Address - Fax:844-411-6462
Practice Address - Street 1:125 DANBURY RD
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877-4139
Practice Address - Country:US
Practice Address - Phone:203-438-0340
Practice Address - Fax:844-411-6462
Is Sole Proprietor?:No
Enumeration Date:2018-06-30
Last Update Date:2018-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0006312183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT0575340276Medicaid