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NPI Code Detail

MEDICARE: IAN GARRETT LINT

MEDICARE: IAN GARRETT LINT
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
1183500000XPharmacist36731SC

General Provider Information

NPI Number : 1861946808
Entity Type Code : Individual
Provider Name (Legal Business Name) : IAN GARRETT LINT
Provider Business Mailing Address
First Line : 11410 ANDERSON RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29611-7502
Country : US
Telephone Number : 864-605-6319
Fax Number :
Provider Business Practice Location Address
First Line : 11410 ANDERSON RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29611-7502
Country : US
Telephone Number : 864-605-6319
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2016
Last Update Date : 08/08/2016

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Directions to “ IAN GARRETT LINT ” Practice Location

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