MEDICARE: MS. ANITA MING-CHU LIN 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	RPH44629	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RPH44629	OTHER	CA	PHARMACIST LICENSE

General Provider Information

NPI Number	:	1750450359
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANITA MING-CHU LIN RPH

Provider Business Mailing Address
First Line	:	2315 ANGELCREST DR
Second Line	:
City	:	HACIENDA HEIGHTS
State	:	CA
Zip	:	91745-4418
Country	:	US
Telephone Number	:	626-336-9913
Fax Number	:

Provider Business Practice Location Address
First Line	:	2221 BEVERLY BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-2207
Country	:	US
Telephone Number	:	213-483-3929
Fax Number	:	213-483-4803

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

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	07/08/2007

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