Provider Demographics
NPI:1487756912
Name:LINTON, MONTE EUGENE (PHARMACIST)
Entity type:Individual
Prefix:MR
First Name:MONTE
Middle Name:EUGENE
Last Name:LINTON
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:GREAT BEND
Mailing Address - State:KS
Mailing Address - Zip Code:67530-4208
Mailing Address - Country:US
Mailing Address - Phone:620-792-3030
Mailing Address - Fax:620-792-4971
Practice Address - Street 1:1000 ADAMS ST
Practice Address - Street 2:
Practice Address - City:GREAT BEND
Practice Address - State:KS
Practice Address - Zip Code:67530-4208
Practice Address - Country:US
Practice Address - Phone:620-792-3030
Practice Address - Fax:620-792-4971
Is Sole Proprietor?:No
Enumeration Date:2006-09-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-09516183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1714725OtherNCPDP PHARMACY NUMBER
KS0473710001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER