Organization
MICRIMAR INC
Active
Other names
LINCOLN DRUG COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
CARL VIOLA RPH (PRESIDENT)
(856) 365-3400
Entity
Organization
Contact information
Practice address
221 S BROADWAY, CAMDEN, NJ 08103-1287
(856) 365-3400
(610) 668-1077
Mailing address
730 BRYN MAWR AVE, NARBERTH, PA 19072-1402
(856) 365-3400
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
28RS00288000
NJ
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2448408
—
NJ
01
—
3107439
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
4322908
—
NJ
Enumeration date
11/15/2006
Last updated
02/08/2008
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