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NPI Code Detail

MEDICARE: DR. SUSAN ANN LINGENFELTER PHARMD

MEDICARE:  DR. SUSAN ANN LINGENFELTER  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
11835P2201XAmbulatory Care Pharmacist0202206014VA

General Provider Information

NPI Number : 1053906628
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUSAN ANN LINGENFELTER PHARMD
Provider Business Mailing Address
First Line : 3737 W MAIN ST STE 106
Second Line :
City : SALEM
State : VA
Zip : 24153-2073
Country : US
Telephone Number : 540-380-2940
Fax Number : 540-444-7321
Provider Business Practice Location Address
First Line : 3737 W MAIN ST STE 106
Second Line :
City : SALEM
State : VA
Zip : 24153-2073
Country : US
Telephone Number : 540-380-2940
Fax Number : 540-444-7321
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2021
Last Update Date : 03/05/2021

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Directions to “ DR. SUSAN ANN LINGENFELTER PHARMD” Practice Location

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