Organization
LINCOLN PHARMACY LLC
Active
Other names
LINCOLN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK KELLY ODONNELL (OWNER)
(253) 473-1155
Entity
Organization
Contact information
Practice address
821 S 38TH ST, TACOMA, WA 98418-5028
(253) 473-1155
(253) 473-1158
Mailing address
821 S 38TH ST, TACOMA, WA 98418-5028
(253) 473-1155
(253) 473-1158
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
CF00058222
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2107545
PK
—
05
—
6027601
—
WA
Enumeration date
08/10/2006
Last updated
12/18/2024
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