MEDICARE: MR. ANTHONY C LINARDOS R.PH

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	3126	NH
2	183500000X	Pharmacist	PH23798	MA

General Provider Information

NPI Number	:	1588996748
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ANTHONY C LINARDOS R.PH

Provider Business Mailing Address
First Line	:	91 DUTTON RD
Second Line	:
City	:	PELHAM
State	:	NH
Zip	:	03076-3563
Country	:	US
Telephone Number	:	603-635-0854
Fax Number	:	603-577-8806

Provider Business Practice Location Address
First Line	:	375 AMHERST ST
Second Line	:
City	:	NASHUA
State	:	NH
Zip	:	03063-1216
Country	:	US
Telephone Number	:	603-579-0615
Fax Number	:	603-577-8806

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

Provider Enumeration Date	:	02/12/2010
Last Update Date	:	02/12/2010

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