# LCC MEDICAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760974265
- **Authorized official:** JOSHUA MICHAEL CAIN PHARM.D., BCPS, BCOP (PHARMACIST)
- **Authorized official phone:** (419) 302-4790

## Contact information

- **Practice address:** 120 E MAIN ST, LEIPSIC, OH 45856-1427
- **Practice address phone:** (419) 943-7400
- **Practice address fax:** (419) 943-7401
- **Mailing address:** 120 E MAIN ST, LEIPSIC, OH 45856-1427
- **Mailing address phone:** (419) 943-7400
- **Mailing address fax:** (419) 943-7401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 022883700 | OH | Yes |

## Other

- **Enumeration date:** 05/31/2018
- **Last updated:** 05/31/2018