Provider Demographics
NPI:1699756460
Name:WITCHEY, LINDA LEE (RPH)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:LEE
Last Name:WITCHEY
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 1:9882 ERIN WOODS DR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-8717
Mailing Address - Country:US
Mailing Address - Phone:614-889-2239
Mailing Address - Fax:
Practice Address - Street 1:1020 HIGH ST
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-4014
Practice Address - Country:US
Practice Address - Phone:614-885-4079
Practice Address - Fax:614-294-1670
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03211404183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist