Organization
LINCOLN MEDICAL CENTER
Active
Other names
LINCOLN MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GROCE (CHIEF EXEC OFC)
(931) 438-7471
Entity
Organization
Contact information
Practice address
106 MEDICAL CENTER BLVD, FAYETTEVILLE, TN 37334-2684
(931) 438-7400
(931) 438-7404
Mailing address
106 MEDICAL CENTER BLVD, FAYETTEVILLE, TN 37334-2684
(931) 438-7400
(931) 438-7404
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
526
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2088475
PK
—
Enumeration date
06/14/2006
Last updated
08/19/2016
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