Provider Demographics
NPI:1043227044
Name:LINCOLN PHARMACY INC
Entity Type:Organization
Organization Name:LINCOLN PHARMACY INC
Other - Org Name:LINCOLN PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RON
Authorized Official - Middle Name:A
Authorized Official - Last Name:STRICKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:205-763-7759
Mailing Address - Street 1:102 JD SMITH DR
Mailing Address - Street 2:ALACO WAREHOUSE BUSINESS OFFICE
Mailing Address - City:ATTALLA
Mailing Address - State:AL
Mailing Address - Zip Code:35954-3350
Mailing Address - Country:US
Mailing Address - Phone:256-538-5697
Mailing Address - Fax:256-538-0239
Practice Address - Street 1:99 MAGNOLIA ST S
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:AL
Practice Address - Zip Code:35096-0200
Practice Address - Country:US
Practice Address - Phone:205-763-7759
Practice Address - Fax:205-763-2131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-02
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL111394333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0128529OtherNABP
AL0128529OtherNABP