John Eugene Linden, RPH

Individual provider Active NPI Pharmacist · Granite Falls, MN

NPI 1902238652 · NPPES record last updated Aug 5, 2013

Key facts

NPI
1902238652
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
110569 (MN)
Practice address
760 Prentice St
Granite Falls, MN 56241-1541
Phone
(320) 564-2339
Fax
(320) 564-5790
NPI assigned
Aug 5, 2013
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
110569MNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Drug Stores Inc Past Accepting new patients
Thrifty Drug Stores Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 110569 MN Yes

Addresses

Primary practice location

760 Prentice St
Granite Falls, MN 56241-1541

Mailing address

760 Prentice St
Granite Falls, MN 56241-1541
Phone (320) 564-2339

Other providers in Granite Falls, MN

All providers in Granite Falls, MN · Pharmacist in Minnesota

Sources for this page

Verify at the official NPI Registry.