Provider Demographics
NPI:1447795232
Name:LINTERMAN, EDE (RPH)
Entity Type:Individual
Prefix:
First Name:EDE
Middle Name:
Last Name:LINTERMAN
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 1:2200 HARVARD WAY
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-4004
Mailing Address - Country:US
Mailing Address - Phone:775-689-2211
Mailing Address - Fax:775-689-2438
Practice Address - Street 1:2200 HARVARD WAY
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-4004
Practice Address - Country:US
Practice Address - Phone:775-689-2211
Practice Address - Fax:775-689-2438
Is Sole Proprietor?:No
Enumeration Date:2017-01-03
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV16725183500000X
NM6169183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist