Organization
JOHN C LINCOLN, LLC
Active
Other names
Glendale Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN ANSPACH (SENIOR VICE PRESIDENT)
(623) 434-6200
Entity
Organization
Contact information
Practice address
6220 W BELL RD, SUITE 100, GLENDALE, AZ 85308-3718
(602) 547-7200
(602) 547-7301
Mailing address
2500 W UTOPIA RD, SUITE 100, PHOENIX, AZ 85027-4171
(623) 434-6200
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
AZ
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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