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NPI Code Detail

MEDICARE: LINDA LI PHARMD

MEDICARE: LINDA LI PHARMD
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
1183500000XPharmacist064969NY

General Provider Information

NPI Number : 1699244616
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA LI PHARMD
Provider Business Mailing Address
First Line : 1951 64TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-3002
Country : US
Telephone Number : 646-637-7951
Fax Number :
Provider Business Practice Location Address
First Line : 9408 3RD AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-6804
Country : US
Telephone Number : 718-748-1673
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2018
Last Update Date : 11/20/2018

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