Organization
LINCOLN COUNTY PRIMARY CARE CENTER INC
Active
Other names
Dennis' Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LEACH PHARM D (CEO)
(304) 824-6337
Entity
Organization
Contact information
Practice address
6 1ST ST, HAMLIN, WV 25523-1162
(304) 824-2667
(304) 824-2676
Mailing address
6 1ST ST, HAMLIN, WV 25523-1162
(304) 824-2667
(304) 824-2676
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
SP0552496
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153529
PK
—
05
—
3810029901
—
WV
Enumeration date
06/24/2005
Last updated
03/08/2023
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