MEDICARE: DELIVERING HEALTH, 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	333600000X	Pharmacy

General Provider Information

NPI Number	:	1295345544
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DELIVERING HEALTH, LLC

Provider Business Mailing Address
First Line	:	855 GRANDVIEW AVE STE 110
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43215-1102
Country	:	US
Telephone Number	:	866-473-6583
Fax Number	:	888-826-6921

Provider Business Practice Location Address
First Line	:	855 GRANDVIEW AVE STE 110
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43215-1102
Country	:	US
Telephone Number	:	866-473-6583
Fax Number	:	888-826-6921

Authorized Official
Title or Position	:	CONSULTANT/PHARMACIST IN CHARGE
Name	:	BEN ALAN HOLTER
Credential	:	PHARMD
Telephone Number	:	740-508-0213

Provider Enumeration Date	:	08/02/2020
Last Update Date	:	08/02/2020

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