Organization
LINCOLN MEDICAL SUPPLY CO., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY ALAN RESES R.PH (OWNER)
(609) 641-4050
Entity
Organization
Contact information
Practice address
913 N MAIN ST, PLEASANTVILLE, NJ 08232-1401
(609) 641-4050
(609) 641-7650
Mailing address
913 N MAIN ST, PLEASANTVILLE, NJ 08232-1401
(609) 641-4050
(609) 641-7650
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8553904
—
NJ
Enumeration date
08/09/2005
Last updated
04/10/2008
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