Organization
LINCOLN COUNTY PRIMARY CARE CENTER INC
Active
Other names
R EXCELLENCE PROGRAM
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LEACH RPH., PHARM. D. (CEO)
(304) 824-5806
Entity
Organization
Contact information
Practice address
7400 LYNN AVE, HAMLIN, WV 25523-1138
(304) 824-6337
(304) 824-6333
Mailing address
7400 LYNN AVE, HAMLIN, WV 25523-1138
(304) 824-6337
(304) 824-6333
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
SP0552327
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2111572
PK
—
05
—
3810004371
—
WV
Enumeration date
02/15/2006
Last updated
03/08/2023
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