MEDICARE: LISA HANCHER 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	20643	NC
2	183500000X	Pharmacist	RP444393	PA

General Provider Information

NPI Number	:	1871814251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA HANCHER PHARMD.

Provider Business Mailing Address
First Line	:	1137 N BRAGG BLVD
Second Line	:
City	:	SPRING LAKE
State	:	NC
Zip	:	28390-3116
Country	:	US
Telephone Number	:	910-436-0040
Fax Number	:

Provider Business Practice Location Address
First Line	:	1137 N BRAGG BLVD
Second Line	:
City	:	SPRING LAKE
State	:	NC
Zip	:	28390-3116
Country	:	US
Telephone Number	:	910-436-0040
Fax Number	:

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

Provider Enumeration Date	:	06/19/2010
Last Update Date	:	08/22/2014

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