MEDICARE: LOWER LIGHTS HEALTH LINDEN PHARMACY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1366389421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOWER LIGHTS HEALTH LINDEN PHARMACY

Provider Business Mailing Address
First Line	:	1464 CLEVELAND AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43211-2760
Country	:	US
Telephone Number	:	614-274-1455
Fax Number	:	614-564-9821

Provider Business Practice Location Address
First Line	:	1464 CLEVELAND AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43211-2760
Country	:	US
Telephone Number	:	614-274-1455
Fax Number	:	614-564-9821

Authorized Official
Title or Position	:	DIRECTOR OF PHARMACY
Name	:	JOHN AHLER
Credential	:
Telephone Number	:	614-274-1455

Provider Enumeration Date	:	04/29/2026
Last Update Date	:	04/29/2026

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