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NPI Code Detail

MEDICARE: CHRISTOPHER LIN

MEDICARE: CHRISTOPHER LIN
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
1183500000XPharmacist77188CA

General Provider Information

NPI Number : 1659885424
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER LIN
Provider Business Mailing Address
First Line : 1015 W MERCED AVE
Second Line :
City : WEST COVINA
State : CA
Zip : 91790-4015
Country : US
Telephone Number : 626-260-0577
Fax Number :
Provider Business Practice Location Address
First Line : 4041 N SIERRA WAY
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92407-3816
Country : US
Telephone Number : 626-260-0577
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2017
Last Update Date : 11/30/2017

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Directions to “ CHRISTOPHER LIN ” Practice Location

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