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Organization

LINCOLN COUNTY PRIMARY CARE CENTER INC

Active
Other names
Alum Creek Pharmacy at Sand Plant
Organization subpart
No

Provider details

NPI number
Authorized official
LISA LEACH PHARM D (CEO)
(304) 824-5806
Entity
Organization

Contact information

Practice address
1563 SAND PLANT RD, SOUTH CHARLESTON, WV 25309-6120
(304) 756-2181
(304) 756-2796
Mailing address
7400 LYNN AVE, HAMLIN, WV 25523-1138
(304) 824-5806
(304) 824-6333

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0002X
Clinic Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
SP0552448
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2139374
PK
05
3810025585
WV
Enumeration date
10/05/2012
Last updated
03/08/2023
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