Provider Demographics
NPI:1215816046
Name:LINN, BRENDA CHEYANNE (PHARMD)
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:CHEYANNE
Last Name:LINN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8138 HUNTER CT
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:OK
Mailing Address - Zip Code:74804-1851
Mailing Address - Country:US
Mailing Address - Phone:405-760-3222
Mailing Address - Fax:
Practice Address - Street 1:196 SHAWNEE MALL DR
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74804-1337
Practice Address - Country:US
Practice Address - Phone:405-878-0281
Practice Address - Fax:405-878-0174
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK21042183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist