Lincoln County Primary Care Center Inc
Organization Active NPI Community/Retail Pharmacy · Hamlin, WV
NPI 1831163906 · NPPES record last updated Mar 8, 2023
Key facts
- NPI
- 1831163906
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- SP0552327 (WV)
- Legal business name
- LINCOLN COUNTY PRIMARY CARE CENTER INC
- Practice address
- 7400 Lynn Ave
Hamlin, WV 25523-1138 - Phone
- (304) 824-6337
- Fax
- (304) 824-6333
- NPI assigned
- Feb 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Lisa Leach, RPH., PHARM. D.
- Title
- Ceo
- Phone
- (304) 824-5806
Corporate family (same tax ID) 21
National Provider Directory
- Tax ID family
- Man Rexcellence Program
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Clinic Pharmacy | 3336C0002X | |||
| Community/Retail Pharmacy | 3336C0003X | SP0552327 | WV | Yes |
Addresses
Primary practice location
7400 Lynn Ave
Hamlin, WV 25523-1138
Mailing address
7400 Lynn Ave
Hamlin, WV 25523-1138
Phone (304) 824-6337
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2111572 | Other | PK | |
| 3810004371 | Medicaid | WV |
Other names
- R EXCELLENCE PROGRAM
Other providers in Hamlin, WV
- Lincoln County Opportunity Company, Inc.
- Lincoln County Opportunity Company, Inc.
- Lincoln County Primary Care Center Inc
- Lincoln County Primary Care Center Inc
- Lincoln County Primary Care Center Inc
- Lincoln County Primary Care Center, Inc
- Lincoln County Primary Care Center, Inc.
- Lincoln County Primary Care Center, Inc.
- Lincoln Emergency Medical Services Inc
- Lincoln Nursing & Rehabilitation Center LLC
All providers in Hamlin, WV · Community/Retail Pharmacy in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.