Provider Demographics
NPI:1841427630
Name:THERRIO, LINDA ELLEN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:ELLEN
Last Name:THERRIO
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 1:408 CHEYENNE TRAIL
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-2095
Mailing Address - Country:US
Mailing Address - Phone:254-288-8828
Mailing Address - Fax:
Practice Address - Street 1:BLDG 36000
Practice Address - Street 2:DARNALL ARMY MEDICAL CENTER DEPARTMENT OF PHARMACY
Practice Address - City:FORT HOOD
Practice Address - State:TX
Practice Address - Zip Code:76544-5063
Practice Address - Country:US
Practice Address - Phone:254-288-8828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-18
Last Update Date:2011-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX46215183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist