Provider Demographics
NPI:1053194829
Name:GEORGE, LINCY ANN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LINCY
Middle Name:ANN
Last Name:GEORGE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2130 W HOLCOMBE BLVD FL 10
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3306
Mailing Address - Country:US
Mailing Address - Phone:713-600-0934
Mailing Address - Fax:
Practice Address - Street 1:2130 W HOLCOMBE BLVD FL 10
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3306
Practice Address - Country:US
Practice Address - Phone:713-600-0934
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX57284183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist