Provider Demographics
NPI:1841894110
Name:LIN, XIAO JUN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:XIAO
Middle Name:JUN
Last Name:LIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10420 FM 1464 RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2044
Mailing Address - Country:US
Mailing Address - Phone:281-240-0123
Mailing Address - Fax:
Practice Address - Street 1:10420 FM 1464 RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-2044
Practice Address - Country:US
Practice Address - Phone:281-240-0123
Practice Address - Fax:281-325-0622
Is Sole Proprietor?:No
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX53550183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist