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NPI Code Detail

MEDICARE: JON MICHAEL LINNA R.PH.

MEDICARE:   JON MICHAEL LINNA  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
1183500000XPharmacist33408TN
2183500000XPharmacist13568AL

General Provider Information

NPI Number : 1912228065
Entity Type Code : Individual
Provider Name (Legal Business Name) : JON MICHAEL LINNA R.PH.
Provider Business Mailing Address
First Line : 4373 NORTHCREEK BLVD
Second Line :
City : NORTHPORT
State : AL
Zip : 35473-2171
Country : US
Telephone Number : 800-489-3636
Fax Number :
Provider Business Practice Location Address
First Line : 4373 NORTHCREEK BLVD
Second Line :
City : NORTHPORT
State : AL
Zip : 35473-2171
Country : US
Telephone Number : 800-489-3636
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2010
Last Update Date : 12/10/2020

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Directions to “ JON MICHAEL LINNA R.PH.” Practice Location

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