Healthcare Provider Details

I. General information

NPI: 1992609499
Provider Name (Legal Business Name): LINDA OBIERO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 JACKSON ST
SAINT PAUL MN
55101-2595
US

IV. Provider business mailing address

5289 SUNDIAL LN
WOODBURY MN
55129-5526
US

V. Phone/Fax

Practice location:
  • Phone: 651-254-9627
  • Fax:
Mailing address:
  • Phone: 314-341-6213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number121987
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: