Provider Demographics
NPI:1275828816
Name:DODSON, LINDA E (RPH)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:E
Last Name:DODSON
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 1:15240 N DALE MABRY HWY
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-1809
Mailing Address - Country:US
Mailing Address - Phone:813-962-6133
Mailing Address - Fax:813-962-6133
Practice Address - Street 1:15240 N DALE MABRY HWY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-1809
Practice Address - Country:US
Practice Address - Phone:813-962-6133
Practice Address - Fax:813-962-6133
Is Sole Proprietor?:No
Enumeration Date:2011-06-11
Last Update Date:2011-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL16598183500000X
AL9220183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist