MEDICARE: LISA ST. LOUIS 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	RPH026255	GA
2	183500000X	Pharmacist	PS53115	FL

General Provider Information

NPI Number	:	1649608688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA ST. LOUIS PHARMD

Provider Business Mailing Address
First Line	:	420 S NOVA RD
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-0410
Country	:	US
Telephone Number	:	386-281-6633
Fax Number	:

Provider Business Practice Location Address
First Line	:	4036 S NOVA RD
Second Line	:
City	:	PORT ORANGE
State	:	FL
Zip	:	32127-9276
Country	:	US
Telephone Number	:	386-304-8222
Fax Number	:

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

Provider Enumeration Date	:	10/30/2013
Last Update Date	:	03/23/2016

Similar Medicare Providers

1174798433 — ORANGE COUNTY NEWBORN MEDICARE CARE PC
Practice Location Address:

3 SAINT STEPHENS PL , SUITE 2
WARWICK, NY
10990-3208

Practice Phone: 845-987-9700
Practice Fax:

1396160495 — TRACY OLER PA-C
Practice Location Address:

5600 VICTORIA GARDENS BLVD
PORT ORANGE, FL
32127-7914

Practice Phone: 386-760-7773
Practice Fax:

1245814201 — UPPERLINE HEALTHCARE, PC
Practice Location Address:

790 DUNLAWTON AVE STE C
PORT ORANGE, FL
32127-4222

Practice Phone: 386-788-6333
Practice Fax:

1306524533 — JESSICA UTZ
Practice Location Address:

823 DUNLAWTON AVE
PORT ORANGE, FL
32127-4220

Practice Phone: 877-823-4283
Practice Fax:

1932039781 — PRC ASSOCIATES LLC
Practice Location Address:

780 DUNLAWTON AVE STE 103
PORT ORANGE, FL
32127-4252

Practice Phone: 833-730-7246
Practice Fax:

1124433354 — AARON HUTCHINSON AU.D.
Practice Location Address:

1175 DUNLAWTON AVE STE 101
PORT ORANGE, FL
32127-4741

Practice Phone: 855-443-4735
Practice Fax:

Directions to “ LISA ST. LOUIS PHARMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.