Basic Information
| Provider Information | |||||||||
| NPI: | 1356338081 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ROLSTON | ||||||||
| FirstName: | LINDA | ||||||||
| MiddleName: | B. | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PHARM.D., C.G.P. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2177 LAGOON DR | ||||||||
| Address2: | |||||||||
| City: | DUNEDIN | ||||||||
| State: | FL | ||||||||
| PostalCode: | 346982529 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7277385400 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | BAY PINES VAMC/PHARMACY SVC (119) | ||||||||
| Address2: | |||||||||
| City: | BAY PINES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33744 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7273986661 | ||||||||
| FaxNumber: | 7273989506 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/27/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | PU 2259 | FL | X | Pharmacy Service Providers | Pharmacist | 1835P1200X | PS 19067 | FL | X | Pharmacy Service Providers | Pharmacist | Pharmacotherapy |
No ID Information.