Provider Demographics
NPI:1750670626
Name:VONMINDEN, LINDA A (RPH)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:A
Last Name:VONMINDEN
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 1:27710 JEFFERSON AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-4604
Mailing Address - Country:US
Mailing Address - Phone:951-695-0626
Mailing Address - Fax:951-699-6146
Practice Address - Street 1:27710 JEFFERSON AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-4604
Practice Address - Country:US
Practice Address - Phone:951-695-0626
Practice Address - Fax:951-699-6146
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-31
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40355183500000X
TX23384183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist