MEDICARE: LYDIA BRAUN 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	2023035468	MO

General Provider Information

NPI Number	:	1326828328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYDIA BRAUN PHARMD

Provider Business Mailing Address
First Line	:	7107 N OAK TRFY
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64118-2514
Country	:	US
Telephone Number	:	816-436-3200
Fax Number	:	816-468-6269

Provider Business Practice Location Address
First Line	:	7107 N OAK TRFY
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64118-2514
Country	:	US
Telephone Number	:	816-436-3200
Fax Number	:	816-468-6269

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

Provider Enumeration Date	:	10/05/2023
Last Update Date	:	10/05/2023

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