Healthcare Provider Details

I. General information

NPI: 1386266898
Provider Name (Legal Business Name): LINCOLN NYC RX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2020
Last Update Date: 04/30/2024
Certification Date: 08/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 3RD AVE
BRONX NY
10455-4066
US

IV. Provider business mailing address

2825 3RD AVE
BRONX NY
10455-4066
US

V. Phone/Fax

Practice location:
  • Phone: 917-792-2411
  • Fax: 917-792-2414
Mailing address:
  • Phone: 917-792-2411
  • Fax: 917-792-2414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SALMAN RIAZ
Title or Position: PRESIDENT
Credential:
Phone: 718-292-7979