# LINCOLN ONE HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lincoln Specialty Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700536422
- **Authorized official:** MIRVICE AHMAD (PRESIDENT)
- **Authorized official phone:** (347) 896-3441

## Contact information

- **Practice address:** 2825 3RD AVE \# 2, BRONX, NY 10455-4066
- **Practice address phone:** (917) 792-2411
- **Practice address fax:** (917) 792-2414
- **Mailing address:** 2825 3RD AVE \# 2, BRONX, NY 10455-4066
- **Mailing address phone:** (917) 792-2411
- **Mailing address fax:** (917) 792-2414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/25/2022
- **Last updated:** 03/25/2022