Provider Demographics
NPI:1609041284
Name:DRILLMAN, LINA M (RPH)
Entity Type:Individual
Prefix:
First Name:LINA
Middle Name:M
Last Name:DRILLMAN
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 1:189 W 27TH ST
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-1713
Mailing Address - Country:US
Mailing Address - Phone:201-436-4886
Mailing Address - Fax:
Practice Address - Street 1:189 W 27TH ST
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-1713
Practice Address - Country:US
Practice Address - Phone:201-436-4886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJRI16389183500000X
NY035918-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist