Linda Lee Bibbs, PHARM D

Individual provider Active NPI Geriatric Pharmacist · Sonora, CA

NPI 1104268697 · NPPES record last updated Jul 24, 2013

Key facts

NPI
1104268697
Entity type
Individual (NPI type 1)
Primary specialty
Geriatric Pharmacist 1835G0303X
License
36372 (CA)
Practice address
14181 Barlupi Cir
Sonora, CA 95370-8630
Phone
(209) 532-1412
NPI assigned
Jul 24, 2013
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
Credentials
Doctor of Pharmacy

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X 36372 CA Yes

Addresses

Primary practice location

14181 Barlupi Cir
Sonora, CA 95370-8630

Mailing address

14181 Barlupi Cir
Sonora, CA 95370-8630
Phone (209) 532-1412

Other identifiers

IdentifierTypeStateIssuer
327962OtherCANABP-CE IDENTIFICATION NUMBER (FOR PHARMACIST'S LETTER)

Other providers in Sonora, CA

All providers in Sonora, CA · Geriatric Pharmacist in California

Sources for this page

Verify at the official NPI Registry.