=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972459204
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TARRYTOWN EXPOCARE, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/09/2026
-----------------------------------------------------
Last Update Date | 03/09/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3675 DOLSON CT
-----------------------------------------------------
City | CARROLL
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43112-9721
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-653-0942
-----------------------------------------------------
Fax | 877-553-7372
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8500 SHOAL CREEK BLVD BLDG 1
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78757-6888
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-649-8963
-----------------------------------------------------
Fax | 512-649-8963
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MARK LASHLEY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 512-617-7312
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336L0003X
-----------------------------------------------------
Taxonomy Name | Long Term Care Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------