MEDICARE: LINDA MARIE CIMINO PHARMD

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	14921	MD

General Provider Information

NPI Number	:	1407442007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA MARIE CIMINO PHARMD

Provider Business Mailing Address
First Line	:	8001 BELLONA AVE
Second Line	:
City	:	TOWSON
State	:	MD
Zip	:	21204-1902
Country	:	US
Telephone Number	:	443-474-2014
Fax Number	:

Provider Business Practice Location Address
First Line	:	112 CARROLL ISLAND RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21220-2208
Country	:	US
Telephone Number	:	410-335-1135
Fax Number	:

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

Provider Enumeration Date	:	12/17/2020
Last Update Date	:	12/17/2020

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