Provider Demographics
NPI:1023079753
Name:DU, LINDA TIEN (RPH)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:TIEN
Last Name:DU
Suffix:
Gender:F
Credentials:RPH
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Mailing Address - Street 1:4212 INDIGO OAK CT
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95121-1981
Mailing Address - Country:US
Mailing Address - Phone:408-274-3394
Mailing Address - Fax:408-532-1346
Practice Address - Street 1:3251 S WHITE RD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95148-4056
Practice Address - Country:US
Practice Address - Phone:408-274-3394
Practice Address - Fax:408-532-1346
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA49447183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist