MEDICARE: ELIZABETH HALL-LINK PHARMD

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	03334609	OH

General Provider Information

NPI Number	:	1760974141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH HALL-LINK PHARMD

Provider Business Mailing Address
First Line	:	53 W NORTH ST
Second Line	:
City	:	MOUNT GILEAD
State	:	OH
Zip	:	43338-1237
Country	:	US
Telephone Number	:	614-707-9154
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 ACKERMAN RD RM E1014
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43202-4500
Country	:	US
Telephone Number	:	614-366-9679
Fax Number	:

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

Provider Enumeration Date	:	06/01/2018
Last Update Date	:	06/01/2018

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