MEDICARE: LISA MECHELLE STRONG 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	8893	TN

General Provider Information

NPI Number	:	1376837237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA MECHELLE STRONG PHARMD

Provider Business Mailing Address
First Line	:	473 GAW BRANCH RD
Second Line	:
City	:	GAINESBORO
State	:	TN
Zip	:	38562-6204
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	265 HIGHLAND SQ
Second Line	:
City	:	CROSSVILLE
State	:	TN
Zip	:	38555-5111
Country	:	US
Telephone Number	:	931-456-7646
Fax Number	:

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

Provider Enumeration Date	:	06/07/2011
Last Update Date	:	05/12/2026

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