Provider Demographics
NPI:1881964427
Name:MAHLMANN, LINDA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:
Last Name:MAHLMANN
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 1:10980 FAIRFAX BLVD
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-4329
Mailing Address - Country:US
Mailing Address - Phone:703-259-6168
Mailing Address - Fax:
Practice Address - Street 1:10980 FAIRFAX BLVD
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-4329
Practice Address - Country:US
Practice Address - Phone:703-259-6168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-12
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59633183500000X
NV16952183500000X
MD19429183500000X
VA0202209581183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist