MEDICARE: LIFECHEK MONTGOMERY LP

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	333600000X	Pharmacy	17625	TX
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4567307	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1326153529
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFECHEK MONTGOMERY LP

Provider Business Mailing Address
First Line	:	1316 7TH ST
Second Line	:
City	:	ROSENBERG
State	:	TX
Zip	:	77471-3531
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 N LOY LAKE RD
Second Line	:
City	:	SHERMAN
State	:	TX
Zip	:	75090-2839
Country	:	US
Telephone Number	:	903-893-5700
Fax Number	:	903-893-5766

Authorized Official
Title or Position	:	TRAINING AND DVLPMNT SPECIALST
Name	:	SANDRA SCOTT
Credential	:
Telephone Number	:	832-646-5119

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	09/11/2025

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Directions to “LIFECHEK MONTGOMERY LP ” Practice Location

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