MEDICARE: SHARON 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
1	183500000X	Pharmacist	56514	CA

General Provider Information

NPI Number	:	1811477318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON LIN

Provider Business Mailing Address
First Line	:	2107 DUFOUR AVE UNIT B
Second Line	:
City	:	REDONDO BEACH
State	:	CA
Zip	:	90278-1412
Country	:	US
Telephone Number	:	310-714-0331
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 SILVER SPUR RD
Second Line	:
City	:	ROLLING HILLS ESTATES
State	:	CA
Zip	:	90274-3601
Country	:	US
Telephone Number	:	310-377-6728
Fax Number	:

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

Provider Enumeration Date	:	08/15/2018
Last Update Date	:	08/15/2018

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Directions to “ SHARON LIN ” Practice Location

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