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Contact Information

LINCOLN PHARMACY LLC
821B S 38TH ST
TACOMA, WA98418
 Phone: 253-473-1155
 Fax: 253-473-1158
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for LINCOLN PHARMACY LLC

NPI # 1710015912
LBN Legal business name LINCOLN PHARMACY LLC
Authorized official PATRICK ODONNELL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/01/2007
Last updated 10/28/2015 - About 11 years ago
Identifiers
WA License # CF00058298
WA Medicaid 6028914
Other 2108644 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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