Provider Demographics
NPI:1376822734
Name:CASTANO, LINDA ANNE
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:ANNE
Last Name:CASTANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NH
Mailing Address - Zip Code:03848-9997
Mailing Address - Country:US
Mailing Address - Phone:603-642-3191
Mailing Address - Fax:603-642-9017
Practice Address - Street 1:53 CHURCH ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NH
Practice Address - Zip Code:03848-9997
Practice Address - Country:US
Practice Address - Phone:603-642-3191
Practice Address - Fax:603-642-9017
Is Sole Proprietor?:No
Enumeration Date:2011-08-16
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHR918183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist