Provider Demographics
NPI:1437292430
Name:LEMASTERS, LINDA M (RPH)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:M
Last Name:LEMASTERS
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 1:5000 W STATE ROUTE 62
Mailing Address - Street 2:
Mailing Address - City:BOONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47601-9516
Mailing Address - Country:US
Mailing Address - Phone:812-858-3210
Mailing Address - Fax:812-858-3215
Practice Address - Street 1:3888 STATE ROAD 261
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630
Practice Address - Country:US
Practice Address - Phone:812-858-3210
Practice Address - Fax:812-858-3215
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26014362A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1168390015Medicare ID - Type Unspecified