Provider Demographics
NPI:1316250061
Name:MCKEEVER, LINDA P (RPH)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:P
Last Name:MCKEEVER
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 1:466 REESE RD
Mailing Address - Street 2:
Mailing Address - City:BRASSTOWN
Mailing Address - State:NC
Mailing Address - Zip Code:28902-8504
Mailing Address - Country:US
Mailing Address - Phone:828-837-8826
Mailing Address - Fax:
Practice Address - Street 1:44 HIGHWAY 64 W
Practice Address - Street 2:
Practice Address - City:HAYESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28904-9655
Practice Address - Country:US
Practice Address - Phone:828-389-6343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-23
Last Update Date:2010-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7707183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist