LINCOLN PHARMACY (4150)    INSTITUTION (4)

Name Value
NAME LINCOLN PHARMACY
STATE NEBRASKA
STREET ADDR. 1 420 VICTORY PARK DR
CITY LINCOLN
ZIP 68510-2484
OFFICIAL VA NAME LINCOLN PHARMACY
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME LINCOLN VA CLINIC PHARMACY
EFFECTIVE DATE/TIME
  • 2007-09-27 00:00:00
    STATUS:   ACTIVE
    NPI:   1356399372
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA