MEDICARE: MRS. KATIE HELEN LINTON PHARM.D.

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	PS42470	FL

General Provider Information

NPI Number	:	1881803252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATIE HELEN LINTON PHARM.D.

Provider Business Mailing Address
First Line	:	5245 BABCOCK ST NE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32905-4601
Country	:	US
Telephone Number	:	321-409-1148
Fax Number	:

Provider Business Practice Location Address
First Line	:	334 ALBERCA ST NW
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32907-1829
Country	:	US
Telephone Number	:	321-953-3294
Fax Number	:

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

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	12/02/2011

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