Provider Demographics
NPI:1427648278
Name:LINDON, MARKERRA TENE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MARKERRA
Middle Name:TENE
Last Name:LINDON
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 1:4904 HURON ST
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20740-1628
Mailing Address - Country:US
Mailing Address - Phone:337-781-1294
Mailing Address - Fax:
Practice Address - Street 1:1100 4TH ST SW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-4451
Practice Address - Country:US
Practice Address - Phone:202-554-2144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH100003123183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist