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NPI Code Detail

MEDICARE: LISA IVEY TROUP RPH

MEDICARE:   LISA IVEY TROUP  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
1183500000XPharmacist015507GA
2183500000XPharmacist60433SC

General Provider Information

NPI Number : 1811720469
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA IVEY TROUP RPH
Provider Business Mailing Address
First Line : 223 HENRYDALE DR
Second Line :
City : EASLEY
State : SC
Zip : 29642-5900
Country : US
Telephone Number : 478-957-5470
Fax Number :
Provider Business Practice Location Address
First Line : 309 ROLLING HILLS CIR
Second Line :
City : EASLEY
State : SC
Zip : 29640-7124
Country : US
Telephone Number : 864-644-9012
Fax Number : 864-644-9013
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2024
Last Update Date : 12/04/2025

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Directions to “ LISA IVEY TROUP RPH” Practice Location

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