Healthcare Provider Details

I. General information

NPI: 1336001288
Provider Name (Legal Business Name): LINA M. BADWAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 11/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

N93W14575 WHITTAKER WAY
MENOMONEE FALLS WI
53051-1652
US

IV. Provider business mailing address

4603 W TUMBLE CREEK DR
FRANKLIN WI
53132-8134
US

V. Phone/Fax

Practice location:
  • Phone: 877-409-0148
  • Fax:
Mailing address:
  • Phone: 414-379-6077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2329340
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: