Provider Demographics
NPI:1881803252
Name:LINTON, KATIE HELEN (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:HELEN
Last Name:LINTON
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 1:5245 BABCOCK ST NE
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32905-4601
Mailing Address - Country:US
Mailing Address - Phone:321-409-1148
Mailing Address - Fax:
Practice Address - Street 1:334 ALBERCA ST NW
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32907-1829
Practice Address - Country:US
Practice Address - Phone:321-953-3294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS42470183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist