Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TRAVIS OWEN LACORE, PHARM.D.
Active Sole ProprietorDR. TRAVIS OWEN LACORE, PHARM.D. is a Pharmacist healthcare provider located in KIESTER, Minnesota. NPI 1336404490 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · KIESTER, MN
Registration Details
- NPI Number
- 1336404490
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 5, 2012 (14.13653486521 yrs)
- Last Updated
- Jul 5, 2012
- Licenses
-
118237 (MN)21210 (IA)5416 (SD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
113 NORTH 3RD STREETKIESTER, MN, 56051Browse MN providers · Browse ZIP 56051
- Phone
- 5074598421
- Fax
- 6412981204
- Primary Specialty
-
Pharmacist
183500000X
- Additional Specialty
- Pharmacist
- Additional Specialty
- Pharmacist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.