MEDICARE: DR. EMILY DIANE HOMER-CONRAD PHARMD

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	183500000X	Pharmacist	60840	SC

General Provider Information

NPI Number	:	1003774506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMILY DIANE HOMER-CONRAD PHARMD

Provider Business Mailing Address
First Line	:	353 MILL HOUSE LN
Second Line	:
City	:	LEXINGTON
State	:	SC
Zip	:	29072-8351
Country	:	US
Telephone Number	:	803-429-0104
Fax Number	:

Provider Business Practice Location Address
First Line	:	353 MILL HOUSE LN
Second Line	:
City	:	LEXINGTON
State	:	SC
Zip	:	29072-8351
Country	:	US
Telephone Number	:	803-429-0104
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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