Provider Demographics
NPI:1790015469
Name:WARNER, LINDA REBECCA (PHARM D)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:REBECCA
Last Name:WARNER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 WATERS EDGE
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:AR
Mailing Address - Zip Code:71861-8878
Mailing Address - Country:US
Mailing Address - Phone:870-234-5421
Mailing Address - Fax:
Practice Address - Street 1:60 HIGHWAY 79 BYP N
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:AR
Practice Address - Zip Code:71753-3265
Practice Address - Country:US
Practice Address - Phone:870-562-2901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-01
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR08327183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist