Individual
MR. ROBERT D LINCICOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
7 WOODLAND DR, VIENNA, WV 26105-3329
(304) 295-4936
Mailing address
7 WOODLAND DR, VIENNA, WV 26105-3329
(304) 295-4936
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2968
WV
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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