Linda Lander
Individual provider Active NPI Pharmacist · Newcastle, WA
NPI 1104248939 · NPPES record last updated Jan 14, 2014
Key facts
- NPI
- 1104248939
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH 00011297 (WA)
- Practice address
- 8025 148TH Ave SE
Newcastle, WA 98059-9237 - Phone
- (206) 300-6122
- NPI assigned
- Jan 14, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH 00011297 | WA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH 00011297 | WA | Yes |
Addresses
Primary practice location
8025 148TH Ave SE
Newcastle, WA 98059-9237
Mailing address
8025 148TH Ave SE
Newcastle, WA 98059
Phone (206) 300-6122
Other providers in Newcastle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.