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NPI Code Detail

MEDICARE: DR. LISA J THOROUGHMAN PHARMD

MEDICARE: DR. LISA J THOROUGHMAN 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
1183500000XPharmacistPH00049694WA
21835P1200XPharmacotherapy PharmacistPH00049694WA

General Provider Information

NPI Number : 1710989181
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LISA J THOROUGHMAN PHARMD
Provider Business Mailing Address
First Line : 1025 S 2ND AVE
Second Line :
City : WALLA WALLA
State : WA
Zip : 99362-4116
Country : US
Telephone Number : 509-527-8000
Fax Number : 509-527-8183
Provider Business Practice Location Address
First Line : 1025 S 2ND AVE
Second Line :
City : WALLA WALLA
State : WA
Zip : 99362-4116
Country : US
Telephone Number : 509-527-8000
Fax Number : 509-527-8183
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 09/11/2025

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