MEDICARE: THE LASH GROUP

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

General Provider Information

NPI Number	:	1578270021
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE LASH GROUP

Provider Business Mailing Address
First Line	:	5025 PLANO PKWY
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75010-5022
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 INNOVATION PT
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29715-4501
Country	:	US
Telephone Number	:	803-228-5000
Fax Number	:

Authorized Official
Title or Position	:	SR. DIRECTOR PHARMACY SERVICES
Name	:	JOSEPH MAX EILER
Credential	:	RPH
Telephone Number	:	502-955-6118

Provider Enumeration Date	:	11/03/2022
Last Update Date	:	11/03/2022

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Directions to “THE LASH GROUP ” Practice Location

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