Provider Demographics
NPI:1447532890
Name:ROWE, LINDA SUE (RPH)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:SUE
Last Name:ROWE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2909 HARRIS DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-8014
Mailing Address - Country:US
Mailing Address - Phone:405-471-6812
Mailing Address - Fax:
Practice Address - Street 1:1400 E. 2ND ST.
Practice Address - Street 2:C/O WALGREENS PHARMACY
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034
Practice Address - Country:US
Practice Address - Phone:405-216-9672
Practice Address - Fax:405-216-9671
Is Sole Proprietor?:No
Enumeration Date:2011-09-12
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK12112183500000X
KS12496183500000X
CA50722183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist