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NPI Code Detail

MEDICARE: LYNDSAY SHEPERD PHARMD

MEDICARE: LYNDSAY SHEPERD 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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist45405TX

General Provider Information

NPI Number : 1417286253
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNDSAY SHEPERD PHARMD
Provider Business Mailing Address
First Line : 1128 WARBLER DR
Second Line :
City : FORNEY
State : TX
Zip : 75126-7752
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 451 FM 548
Second Line :
City : FORNEY
State : TX
Zip : 75126-6288
Country : US
Telephone Number : 972-552-9814
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2009
Last Update Date : 12/07/2009

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Directions to “ LYNDSAY SHEPERD PHARMD” Practice Location

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