Provider Demographics
NPI:1912441668
Name:TOWN, LINDA KAY (PHARMD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:KAY
Last Name:TOWN
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 1:100 COVERED VLG
Mailing Address - Street 2:
Mailing Address - City:BELDING
Mailing Address - State:MI
Mailing Address - Zip Code:48809-1683
Mailing Address - Country:US
Mailing Address - Phone:231-499-9109
Mailing Address - Fax:
Practice Address - Street 1:100 COVERED VLG
Practice Address - Street 2:
Practice Address - City:BELDING
Practice Address - State:MI
Practice Address - Zip Code:48809-1683
Practice Address - Country:US
Practice Address - Phone:616-794-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-15
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302041567183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist