Provider Demographics
NPI:1568917557
Name:WARWICK, LINDA C (RP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:C
Last Name:WARWICK
Suffix:
Gender:F
Credentials:RP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6131 E SOUTHERN AVE
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-3732
Mailing Address - Country:US
Mailing Address - Phone:480-830-4229
Mailing Address - Fax:480-654-9136
Practice Address - Street 1:6131 E SOUTHERN AVE
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-3732
Practice Address - Country:US
Practice Address - Phone:480-830-4229
Practice Address - Fax:480-654-9136
Is Sole Proprietor?:No
Enumeration Date:2016-08-18
Last Update Date:2016-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS011722183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist