Provider Demographics
NPI:1104115781
Name:LINAS, HOWARD MARTIN
Entity type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:MARTIN
Last Name:LINAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10703 OAKWAY CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23238-3512
Mailing Address - Country:US
Mailing Address - Phone:804-740-0872
Mailing Address - Fax:
Practice Address - Street 1:502 E LABURNUM AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23222-2123
Practice Address - Country:US
Practice Address - Phone:804-329-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-04
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202004473183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist