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Lori Nicole Puckett, Rph

Pharmacist in Lindale, TX. Individual provider (NPI-1).

NPI number1215543764
StatusActive
Last updated in NPPESSep 21, 2020

Details

NPI
1215543764
Entity type
Individual (NPI-1)
Name
Lori Nicole Puckett
Credential
Rph
Sex
Female
Sole proprietor
No
Enumeration date
Sep 21, 2020
Certification date
Sep 21, 2020
Last updated
Sep 21, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist36879TXYes

Practice location

521 S Main St
Lindale, TX 75771-6814

Phone 903-882-1309

Mailing address

521 S Main St
Lindale, TX 75771-6814

Phone 903-882-1309 · Fax 903-882-1436

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pharmacist providers in Lindale, TX

All 14 Pharmacist providers in Lindale · All 294 providers in Lindale

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