Healthcare Provider Details

I. General information

NPI: 1124128848
Provider Name (Legal Business Name): LINDA BRONSON SEXTON RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PERRY POINT VAMC BUILDING 361
PERRY POINT MD
21902
US

IV. Provider business mailing address

518 S MAIN ST
RED LION PA
17356-2415
US

V. Phone/Fax

Practice location:
  • Phone: 800-949-1003
  • Fax: 410-642-1883
Mailing address:
  • Phone: 410-642-2411
  • Fax: 410-642-1883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number08157
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: