Provider Demographics
NPI:1427621689
Name:LINK, MARIE (RPH, PHARMD)
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:
Last Name:LINK
Suffix:
Gender:F
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9472
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55440-9472
Mailing Address - Country:US
Mailing Address - Phone:614-219-8557
Mailing Address - Fax:855-223-1990
Practice Address - Street 1:6270 SOM CENTER RD
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-2913
Practice Address - Country:US
Practice Address - Phone:614-219-8557
Practice Address - Fax:855-223-1990
Is Sole Proprietor?:No
Enumeration Date:2021-07-23
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03124160183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist