Provider Demographics
NPI:1417919788
Name:LINVILLE, DAVID W (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:W
Last Name:LINVILLE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1820 ERIN WAY
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95382-9202
Mailing Address - Country:US
Mailing Address - Phone:209-634-9644
Mailing Address - Fax:209-635-1153
Practice Address - Street 1:1801 H ST
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95354-1221
Practice Address - Country:US
Practice Address - Phone:209-524-8282
Practice Address - Fax:209-544-0855
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26833183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist