Organization
TARRYTOWN EXPOCARE IL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LASHLEY (CEO)
(512) 617-7312
Entity
Organization
Contact information
Practice address
8145 RIVER DR STE 106, MORTON GROVE, IL 60053-2645
(855) 887-9397
(855) 617-7313
Mailing address
8500 SHOAL CREEK BLVD BLDG 1, AUSTIN, TX 78757-6888
(855) 887-9397
(855) 617-7313
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
07/26/2019
Last updated
06/01/2023
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