Individual
MRS. LINDA SUE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
1026 HALSELL ST, BRIDGEPORT, TX 76426-3030
(940) 683-2950
(940) 683-8059
Mailing address
1404 SHIRLEY ST, BRIDGEPORT, TX 76426-2606
(940) 683-5337
(940) 683-8059
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
116533
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116533
CPHT
TX
Enumeration date
08/18/2006
Last updated
07/08/2007
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