Healthcare Provider Details

I. General information

NPI: 1487986568
Provider Name (Legal Business Name): LINJUE HUA RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2010
Last Update Date: 03/07/2022
Certification Date: 03/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6903 18TH AVE
BROOKLYN NY
11204-5076
US

IV. Provider business mailing address

6903 18TH AVE
BROOKLYN NY
11204-5076
US

V. Phone/Fax

Practice location:
  • Phone: 718-759-6308
  • Fax: 718-759-6309
Mailing address:
  • Phone: 718-759-6308
  • Fax: 718-759-6309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number053840
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: