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Organization

LINCOLN PHARMACY LLC

Active
Other names
LINCOLN PHARMACY LTC
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICK ODONNELL PHARMD (OWNER)
(253) 473-1155
Entity
Organization

Contact information

Practice address
821B S 38TH ST, TACOMA, WA 98418
(253) 473-1155
(253) 473-1158
Mailing address
821B S 38TH ST, TACOMA, WA 98418
(253) 473-1155
(253) 473-1158

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
CF00058298
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2108644
PK
05
6028914
WA
Enumeration date
03/01/2007
Last updated
10/28/2015
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