Provider Demographics
NPI:1730614884
Name:FLOWER, LINDA
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:FLOWER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2880 SHADELANDS DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-2522
Mailing Address - Country:US
Mailing Address - Phone:925-979-6817
Mailing Address - Fax:
Practice Address - Street 1:2880 SHADELANDS DR
Practice Address - Street 2:SUITE 201
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2522
Practice Address - Country:US
Practice Address - Phone:925-979-6817
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-26
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40250183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist