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NPI Code Detail

MEDICARE: LINDA MORDENTE-FLYNN RPH

MEDICARE:   LINDA  MORDENTE-FLYNN  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
1183500000XPharmacist8305NV

General Provider Information

NPI Number : 1306057088
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA MORDENTE-FLYNN RPH
Provider Business Mailing Address
First Line : 5801 MENDOZA CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-4131
Country : US
Telephone Number : 702-839-9256
Fax Number : 702-839-9485
Provider Business Practice Location Address
First Line : 7151 W CRAIG RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-6511
Country : US
Telephone Number : 702-839-9256
Fax Number : 702-839-9485
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2007
Last Update Date : 07/08/2007

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Directions to “ LINDA MORDENTE-FLYNN RPH” Practice Location

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