Healthcare Provider Details
I. General information
NPI: 1508810417
Provider Name (Legal Business Name): LINMAS DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/22/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
603 MAIN ST
EMLENTON PA
16373-0010
US
IV. Provider business mailing address
PO BOX 10
EMLENTON PA
16373-0010
US
V. Phone/Fax
- Phone: 724-867-2400
- Fax: 724-867-6644
- Phone: 724-867-2400
- Fax: 724-867-6644
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | PP413139L |
| License Number State | PA |
VIII. Authorized Official
Name: MR.
JOHN
ROBERT
DREHER
Title or Position: PRESIDENT
Credential: RPH
Phone: 724-867-2400