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NPI Code Detail

MEDICARE: LINDA WEN RPH

MEDICARE: LINDA WEN 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
1183500000XPharmacist048107NY
2183500000XPharmacist0048107NY

General Provider Information

NPI Number : 1780854133
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA WEN RPH
Provider Business Mailing Address
First Line : 2095 DUTCH BROADWAY
Second Line :
City : ELMONT
State : NY
Zip : 11003-4247
Country : US
Telephone Number : 516-285-4214
Fax Number :
Provider Business Practice Location Address
First Line : 2095 DUTCH BROADWAY
Second Line :
City : ELMONT
State : NY
Zip : 11003-4247
Country : US
Telephone Number : 516-285-4214
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2008
Last Update Date : 12/09/2020

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Directions to “ LINDA WEN RPH” Practice Location

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