Provider Demographics
NPI:1265196489
Name:LINN, ERIC CHARLES (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:CHARLES
Last Name:LINN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 HICKORY STREET
Mailing Address - Street 2:DEPT OF PHARMACY
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-3224
Mailing Address - Country:US
Mailing Address - Phone:321-434-1887
Mailing Address - Fax:
Practice Address - Street 1:1350 HICKORY STREET
Practice Address - Street 2:DEPT OF PHARMACY
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-3224
Practice Address - Country:US
Practice Address - Phone:321-434-1887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-25
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPU9135183500000X
FLPS626361835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPS62636OtherSTATE OF FLORIDA DEPARTMENT OF HEALTH
FLPU9135OtherSTATE OF FLORIDA DEPARTMENT OF HEALTH