MEDICARE: MR. WAYNE LINDER RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS27675	FL

General Provider Information

NPI Number	:	1144412800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WAYNE LINDER RPH

Provider Business Mailing Address
First Line	:	1260 PEREGRINE WAY
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33327-2369
Country	:	US
Telephone Number	:	954-648-1438
Fax Number	:

Provider Business Practice Location Address
First Line	:	1932 WESTON RD
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33326-3214
Country	:	US
Telephone Number	:	954-389-7455
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2007
Last Update Date	:	08/15/2007

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