Provider Demographics
NPI:1700168499
Name:CURRIE, LINDA RAE (RPH)
Entity Type:Individual
Prefix:MISS
First Name:LINDA
Middle Name:RAE
Last Name:CURRIE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 NE JENSEN BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:JENSEN BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:34957-7222
Mailing Address - Country:US
Mailing Address - Phone:772-334-5886
Mailing Address - Fax:772-334-6906
Practice Address - Street 1:1250 NE JENSEN BEACH BLVD
Practice Address - Street 2:
Practice Address - City:JENSEN BEACH
Practice Address - State:FL
Practice Address - Zip Code:34957-7222
Practice Address - Country:US
Practice Address - Phone:772-334-5886
Practice Address - Fax:772-334-6906
Is Sole Proprietor?:No
Enumeration Date:2011-09-19
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS312201835P1200X
MEPR37351835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy