Provider Demographics
NPI:1396045340
Name:LINDAMAN, LINDA JEANE (RPH)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:JEANE
Last Name:LINDAMAN
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 1:3027 RANCHO VISTA BLVD
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551-3582
Mailing Address - Country:US
Mailing Address - Phone:661-265-9741
Mailing Address - Fax:661-265-9751
Practice Address - Street 1:3027 RANCHO VISTA BLVD
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93551-3582
Practice Address - Country:US
Practice Address - Phone:661-265-9741
Practice Address - Fax:661-265-9751
Is Sole Proprietor?:No
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35576183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist