Organization
JOHN C LINCOLN, LLC
Active
Other names
Deer Valley Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN ANSPACH (SR. VICE PRESIDENT)
(623) 434-6200
Entity
Organization
Contact information
Practice address
19636 N 27TH AVE, SUITE 308, PHOENIX, AZ 85027-4013
(623) 780-1999
(623) 516-0950
Mailing address
2500 W UTOPIA RD, SUITE 100, PHOENIX, AZ 85027-4171
(623) 434-6200
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
AZ
Other
Enumeration date
10/17/2016
Last updated
03/31/2017
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