Healthcare Provider Details

I. General information

NPI: 1669019451
Provider Name (Legal Business Name): LINDA MARIE RAJK RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2019
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9835 FALL CREEK RD
INDIANAPOLIS IN
46256-4817
US

IV. Provider business mailing address

11247 ECHO GROVE CT
INDIANAPOLIS IN
46236-9074
US

V. Phone/Fax

Practice location:
  • Phone: 317-577-3486
  • Fax: 317-577-3487
Mailing address:
  • Phone: 317-750-3553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number26018027A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: