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NPI Code Detail

MEDICARE: LINDA'S PHARMACY, INC

MEDICARE: LINDA'S PHARMACY, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist051038905IL

General Provider Information

NPI Number : 1023068731
Entity Type Code : Organization
Provider Name (Legal Business Name) : LINDA'S PHARMACY, INC
Provider Business Mailing Address
First Line : 2339B S WENTWORTH AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60616-2013
Country : US
Telephone Number : 312-791-0533
Fax Number : 312-791-0402
Provider Business Practice Location Address
First Line : 2339B S WENTWORTH AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60616-2013
Country : US
Telephone Number : 312-791-0533
Fax Number : 312-791-0402
Authorized Official
Title or Position : PRESIDENT/PHARMACIST
Name : DR. LINDA DOBSON
Credential : PHARMD
Telephone Number : 312-791-0533
Provider Enumeration Date : 05/11/2006
Last Update Date : 07/29/2011

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Directions to “LINDA'S PHARMACY, INC ” Practice Location

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