Provider Demographics
NPI:1386938785
Name:NEAS, LINETTE (RPH)
Entity type:Individual
Prefix:
First Name:LINETTE
Middle Name:
Last Name:NEAS
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 1:81 TAUNTON DEPOT DR
Mailing Address - Street 2:T1189
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-6915
Mailing Address - Country:US
Mailing Address - Phone:508-824-5848
Mailing Address - Fax:508-824-5848
Practice Address - Street 1:81 TAUNTON DEPOT DR
Practice Address - Street 2:T1189
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-6915
Practice Address - Country:US
Practice Address - Phone:508-824-5848
Practice Address - Fax:508-824-5848
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-02
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA21782183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist