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NPI Code Detail

MEDICARE: MRS. LISA A YOUNG PHARMD

MEDICARE: MRS. LISA A YOUNG 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
1183500000XPharmacist13895AL

General Provider Information

NPI Number : 1417252305
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LISA A YOUNG PHARMD
Provider Business Mailing Address
First Line : 725 E COY SMITH HWY
Second Line :
City : MOUNT VERNON
State : AL
Zip : 36560-3322
Country : US
Telephone Number : 251-662-6837
Fax Number : 251-829-5636
Provider Business Practice Location Address
First Line : 725 E COY SMITH HWY
Second Line :
City : MOUNT VERNON
State : AL
Zip : 36560-3322
Country : US
Telephone Number : 251-662-6837
Fax Number : 251-829-5636
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2011
Last Update Date : 01/24/2011

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Directions to “ MRS. LISA A YOUNG PHARMD” Practice Location

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