Individual
DR. JUTIEH LINCOLN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD MPH
Contact information
Practice address
2732 W MICHIGAN ST, INDIANAPOLIS, IN 46222-3750
(317) 554-4638
(317) 554-4616
Mailing address
2732 W MICHIGAN ST, INDIANAPOLIS, IN 46222-3750
(317) 554-4638
(317) 554-4616
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26027450A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912091679
—
IN
Enumeration date
04/12/2021
Last updated
04/12/2021
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