Provider Demographics
NPI:1548457898
Name:MCCONAHY, LINDA SUE (RPH)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:SUE
Last Name:MCCONAHY
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 1:490 POOR HOUSE RD
Mailing Address - Street 2:
Mailing Address - City:FRONT ROYAL
Mailing Address - State:VA
Mailing Address - Zip Code:22630-7769
Mailing Address - Country:US
Mailing Address - Phone:540-635-9667
Mailing Address - Fax:
Practice Address - Street 1:145 E KING ST
Practice Address - Street 2:
Practice Address - City:STRASBURG
Practice Address - State:VA
Practice Address - Zip Code:22657-2238
Practice Address - Country:US
Practice Address - Phone:540-465-5193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202007204183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist