Healthcare Provider Details

I. General information

NPI: 1083155089
Provider Name (Legal Business Name): MR. AARON LINK
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2017
Last Update Date: 03/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8333 ROCKSIDE RD
CLEVELAND OH
44125-6134
US

IV. Provider business mailing address

100 MEADOWHILL LN
MORELAND HILLS OH
44022-1337
US

V. Phone/Fax

Practice location:
  • Phone: 216-369-2200
  • Fax: 216-369-2201
Mailing address:
  • Phone: 440-339-2733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03-1-22513
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: