MEDICARE: LINK INVESTMENTS LLC

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	3336C0003X	Community/Retail Pharmacy	SP0552494	WV

General Provider Information

NPI Number	:	1720468218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINK INVESTMENTS LLC

Provider Business Mailing Address
First Line	:	1513 MT VERNON ROAD
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25314
Country	:	US
Telephone Number	:	304-382-6102
Fax Number	:	681-265-9147

Provider Business Practice Location Address
First Line	:	5151 MACORKLE AVENUE
Second Line	:
City	:	SOUTH CHARLESTON
State	:	WV
Zip	:	25309
Country	:	US
Telephone Number	:	304-382-6102
Fax Number	:	681-265-9147

Authorized Official
Title or Position	:	OWNWE
Name	:	MR. ENBANATHAN SRINIVASEN GOVENDER
Credential	:	MR
Telephone Number	:	304-382-6102

Provider Enumeration Date	:	06/01/2015
Last Update Date	:	06/01/2015

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