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General NPI Number Information
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NPI Number | 1003448184
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Entity Type | Organization
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Legal Business Name | LINCO PHARMACY, INC.
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Dates
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Enumeration Date | 02/06/2020
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Last Update Date | 02/06/2020
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Provider Practice Location Address
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Address Line | 5755 W ADAMS BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90016-2440
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Country | US
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Telephone | 323-879-9875
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Fax | 323-879-9876
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Provider Business Mailing Address
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Address Line | 5755 W ADAMS BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90016-2440
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Country | US
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Telephone | 323-879-9875
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Fax | 323-879-9876
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. CHERYL ANN FULLER
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Credential | N/A
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Telephone | 323-864-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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