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NPI Code Detail

MEDICARE: LYNDA RAE POWERS RPH

MEDICARE: LYNDA RAE POWERS RPH
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
1183500000XPharmacist7004SC

General Provider Information

NPI Number : 1811231848
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNDA RAE POWERS RPH
Provider Business Mailing Address
First Line : 125 MORNING LAKE DR
Second Line :
City : LEXINGTON
State : SC
Zip : 29072-7519
Country : US
Telephone Number : 803-957-4621
Fax Number :
Provider Business Practice Location Address
First Line : 5608 SUNSET BLVD
Second Line :
City : LEXINGTON
State : SC
Zip : 29072-2728
Country : US
Telephone Number : 803-957-0605
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2012
Last Update Date : 11/15/2012

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Directions to “ LYNDA RAE POWERS RPH” Practice Location

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