MEDICARE: MS. LINDA TIEN DU RPH

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
1	183500000X	Pharmacist	49447	CA

General Provider Information

NPI Number	:	1023079753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LINDA TIEN DU RPH

Provider Business Mailing Address
First Line	:	4212 INDIGO OAK CT
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95121-1981
Country	:	US
Telephone Number	:	408-274-3394
Fax Number	:	408-532-1346

Provider Business Practice Location Address
First Line	:	3251 S WHITE RD
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95148-4056
Country	:	US
Telephone Number	:	408-274-3394
Fax Number	:	408-532-1346

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2006
Last Update Date	:	04/09/2010

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