Provider Demographics
NPI:1396020103
Name:LEPRI, LINDA HAUSE (RPH)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:HAUSE
Last Name:LEPRI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:KAYE
Other - Last Name:HAUSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMACIST
Mailing Address - Street 1:PO BOX 1171
Mailing Address - Street 2:
Mailing Address - City:MOUNT OLIVE
Mailing Address - State:NC
Mailing Address - Zip Code:28365-3171
Mailing Address - Country:US
Mailing Address - Phone:336-580-0369
Mailing Address - Fax:
Practice Address - Street 1:3220 SPRING FOREST RD
Practice Address - Street 2:KERR DRUG
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-2822
Practice Address - Country:US
Practice Address - Phone:919-544-3896
Practice Address - Fax:919-544-3796
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-13
Last Update Date:2012-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC08839183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist