Provider Demographics
NPI:1508852591
Name:DAISEY, LINDA W (PHARMACY TECHNICIAN)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:W
Last Name:DAISEY
Suffix:
Gender:F
Credentials:PHARMACY TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6269 HIGHLAND PARK DR.
Mailing Address - Street 2:
Mailing Address - City:CHINCOTEAGUE
Mailing Address - State:VA
Mailing Address - Zip Code:23336-2215
Mailing Address - Country:US
Mailing Address - Phone:757-336-5219
Mailing Address - Fax:
Practice Address - Street 1:6269 HIGHLAND PARK DR
Practice Address - Street 2:
Practice Address - City:CHINCOTEAGUE
Practice Address - State:VA
Practice Address - Zip Code:23336-2215
Practice Address - Country:US
Practice Address - Phone:757-336-5219
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0230000645183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician