Provider Demographics
NPI:1740561935
Name:NEIGHBORS, LINAH AMANDA (PHARMD)
Entity Type:Individual
Prefix:
First Name:LINAH
Middle Name:AMANDA
Last Name:NEIGHBORS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2060 HWY 40 E
Mailing Address - Street 2:
Mailing Address - City:KINGSLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31548-6731
Mailing Address - Country:US
Mailing Address - Phone:912-673-9130
Mailing Address - Fax:
Practice Address - Street 1:2060 HWY 40 E
Practice Address - Street 2:
Practice Address - City:KINGSLAND
Practice Address - State:GA
Practice Address - Zip Code:31548-6731
Practice Address - Country:US
Practice Address - Phone:912-673-9130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-01
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH024297183500000X
FLPS45974183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist