Dr Travis Owen Lacore, PHARMD is a
Pharmacist based in Kiester, Minnesota. Dr Travis Owen Lacore is licensed to practice in Minnesota (license number 118237) and his current practice location is
113 North 3rd Street, Kiester, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(507) 459-8421.
NPI number for Dr Travis Owen Lacore is 1336404490 and his current mailing address is P.o. Box 357, 113 North 3rd Street, Kiester, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336404490.
Healthcare Provider's Profile
| Full Name | Dr Travis Owen Lacore |
|---|
| Gender | Male |
|---|
| Speciality | Pharmacist |
|---|
| Location | 113 North 3rd Street, Kiester, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1336404490
- Provider Enumeration Date: 07/05/2012
- Last Update Date: 07/05/2012
Medical Identifiers
Medical identifiers for Dr Travis Owen Lacore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336404490 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 118237 (Minnesota) | Primary |
| 183500000X | Pharmacist | 21210 (Iowa) | Secondary |
| 183500000X | Pharmacist | 5416 (South Dakota) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Travis Owen Lacore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Travis Owen Lacore, PHARMD
P.o. Box 357, 113 North 3rd Street,
Kiester, MN 56051
Ph: (507) 459-8421 | Dr Travis Owen Lacore, PHARMD
113 North 3rd Street,
Kiester, MN 56051
Ph: (507) 459-8421 |
Reviews and Comments