MEDICARE: SHARON MARIE LANCE 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
1	183500000X	Pharmacist	28611	TX

General Provider Information

NPI Number	:	1033752878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON MARIE LANCE RPH

Provider Business Mailing Address
First Line	:	401 W WALLACE ST
Second Line	:
City	:	SAN SABA
State	:	TX
Zip	:	76877-4433
Country	:	US
Telephone Number	:	325-372-3033
Fax Number	:	325-372-5961

Provider Business Practice Location Address
First Line	:	401 W WALLACE ST
Second Line	:
City	:	SAN SABA
State	:	TX
Zip	:	76877-4433
Country	:	US
Telephone Number	:	325-372-3033
Fax Number	:	325-372-5961

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

Provider Enumeration Date	:	10/24/2019
Last Update Date	:	10/24/2019

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Directions to “ SHARON MARIE LANCE RPH” Practice Location

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