Provider Demographics
NPI:1255931606
Name:TOMLINSON, RENEE LYNNE
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:LYNNE
Last Name:TOMLINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 HIGHVUE DR
Mailing Address - Street 2:
Mailing Address - City:VENETIA
Mailing Address - State:PA
Mailing Address - Zip Code:15367-1221
Mailing Address - Country:US
Mailing Address - Phone:724-413-3238
Mailing Address - Fax:
Practice Address - Street 1:30 TRINITY POINT DR
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-2974
Practice Address - Country:US
Practice Address - Phone:724-229-4026
Practice Address - Fax:724-229-2520
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP038512L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist