MEDICARE: LISA IVEY TROUP RPH

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	015507	GA
2	183500000X	Pharmacist	60433	SC

General Provider Information

NPI Number	:	1811720469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA IVEY TROUP RPH

Provider Business Mailing Address
First Line	:	223 HENRYDALE DR
Second Line	:
City	:	EASLEY
State	:	SC
Zip	:	29642-5900
Country	:	US
Telephone Number	:	478-957-5470
Fax Number	:

Provider Business Practice Location Address
First Line	:	309 ROLLING HILLS CIR
Second Line	:
City	:	EASLEY
State	:	SC
Zip	:	29640-7124
Country	:	US
Telephone Number	:	864-644-9012
Fax Number	:	864-644-9013

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

Provider Enumeration Date	:	08/20/2024
Last Update Date	:	12/04/2025

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Directions to “ LISA IVEY TROUP RPH” Practice Location

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