Provider Demographics
NPI:1447683107
Name:GREENE, LINDA (PHARM D)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:GREENE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 PHOENIX COVE RD
Mailing Address - Street 2:
Mailing Address - City:WEAVERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28787-9744
Mailing Address - Country:US
Mailing Address - Phone:828-243-7503
Mailing Address - Fax:
Practice Address - Street 1:115 RESERVOIR RD
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28714-3321
Practice Address - Country:US
Practice Address - Phone:828-682-6171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-16
Last Update Date:2013-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15561183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist