Provider Demographics
NPI:1720377542
Name:LINDER, RENAE MICHELLE (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:RENAE
Middle Name:MICHELLE
Last Name:LINDER
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4647 WAKEFORD ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-1947
Mailing Address - Country:US
Mailing Address - Phone:614-593-2202
Mailing Address - Fax:
Practice Address - Street 1:1825 N STATE ROUTE 19
Practice Address - Street 2:KMART PHARMACY
Practice Address - City:FREMONT
Practice Address - State:OH
Practice Address - Zip Code:43420-1037
Practice Address - Country:US
Practice Address - Phone:419-334-3900
Practice Address - Fax:419-334-3347
Is Sole Proprietor?:No
Enumeration Date:2011-04-01
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03230584183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist