Provider Demographics
NPI:1285636670
Name:LINCOLN PHARMACY NETWORK
Entity Type:Organization
Organization Name:LINCOLN PHARMACY NETWORK
Other - Org Name:LINCOLN PHARMACY AND SURGICAL SUPPLY
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCE
Authorized Official - Middle Name:
Authorized Official - Last Name:HSIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-205-4900
Mailing Address - Street 1:52 ROUTE 27
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-3982
Mailing Address - Country:US
Mailing Address - Phone:732-205-4900
Mailing Address - Fax:732-494-7818
Practice Address - Street 1:52 ROUTE 27
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-3982
Practice Address - Country:US
Practice Address - Phone:732-205-4900
Practice Address - Fax:732-494-7818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6178413Medicaid
NJ6178413Medicaid
NJ0844510001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER