Provider Demographics
NPI:1922679695
Name:LIN, JENNY YI CHING (PHARM D, BCMTMS)
Entity Type:Individual
Prefix:
First Name:JENNY
Middle Name:YI CHING
Last Name:LIN
Suffix:
Gender:F
Credentials:PHARM D, BCMTMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10407 SAGE DOCK CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-2279
Mailing Address - Country:US
Mailing Address - Phone:832-868-5286
Mailing Address - Fax:
Practice Address - Street 1:2615 STRAWBERRY RD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77502-5103
Practice Address - Country:US
Practice Address - Phone:713-947-6767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-05
Last Update Date:2021-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX416681835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy