Provider Demographics
NPI:1083286678
Name:LINDEN COMMUNITY PHARMACY
Entity Type:Organization
Organization Name:LINDEN COMMUNITY PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:330-204-9951
Mailing Address - Street 1:1464 CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43211-2760
Mailing Address - Country:US
Mailing Address - Phone:614-298-4190
Mailing Address - Fax:614-298-4191
Practice Address - Street 1:1464 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43211-2760
Practice Address - Country:US
Practice Address - Phone:614-298-4190
Practice Address - Fax:614-298-4191
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHARITABLE PHARMACY OF CENTRAL OHIO, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy