MEDICARE: LINZEY GALLION PHARM.D.

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	183500000X	Pharmacist	03230259	OH
2	183500000X	Pharmacist	RPH.03230259	OH

General Provider Information

NPI Number	:	1013348960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINZEY GALLION PHARM.D.

Provider Business Mailing Address
First Line	:	1270 N BRIDGE ST
Second Line	:
City	:	CHILLICOTHEE
State	:	OH
Zip	:	45601-1852
Country	:	US
Telephone Number	:	740-779-6716
Fax Number	:

Provider Business Practice Location Address
First Line	:	1270 N BRIDGE ST
Second Line	:
City	:	CHILLICOTHEE
State	:	OH
Zip	:	45601-1852
Country	:	US
Telephone Number	:	740-779-6716
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/03/2013
Last Update Date	:	02/18/2023

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