MEDICARE: LINCOLN ENTERPRISES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	PP411386L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3909326	OTHER		NABP
3	PP411386L	OTHER	PA	PA STATE PHARMACY PERMIT

General Provider Information

NPI Number	:	1134125339
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINCOLN ENTERPRISES

Provider Business Mailing Address
First Line	:	232 NORTH AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15209-2502
Country	:	US
Telephone Number	:	412-821-3332
Fax Number	:	412-821-8071

Provider Business Practice Location Address
First Line	:	232 NORTH AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15209-2502
Country	:	US
Telephone Number	:	412-821-3332
Fax Number	:	412-821-8071

Authorized Official
Title or Position	:	PARTNER
Name	:	MRS. JENNIFER L COHEN
Credential	:
Telephone Number	:	412-821-3332

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	03/07/2023

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Directions to “LINCOLN ENTERPRISES ” Practice Location

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