Healthcare Provider Details

I. General information

NPI: 1063242543
Provider Name (Legal Business Name): LINFAH MCQUEEN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2024
Last Update Date: 08/07/2024
Certification Date: 08/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 FALLSWAY
BALTIMORE MD
21202-4800
US

IV. Provider business mailing address

761 CARROLL ST
BALTIMORE MD
21230-2322
US

V. Phone/Fax

Practice location:
  • Phone: 410-962-1100
  • Fax:
Mailing address:
  • Phone: 240-535-0600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number29905
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: