Lisa Sue Lange, PharmD
Pharmacist in Rapid City, SD. Individual provider (NPI-1).
NPI number1528895752
StatusActive
Last updated in NPPESSep 19, 2024
Details
- NPI
- 1528895752
- Entity type
- Individual (NPI-1)
- Name
- Lisa Sue Lange
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 19, 2024
- Certification date
- Sep 19, 2024
- Last updated
- Sep 19, 2024
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | R-5083 | SD | Yes |
Practice location
3200 Canyon Lake DrRapid City, SD 57702-8114
Phone 605-355-2211 · Fax 605-355-2565
Mailing address
3200 Canyon Lake DrRapid City, SD 57702-8114
Phone 605-355-2211 · Fax 605-355-2565
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.
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All 89 Pharmacist providers in Rapid City · All 3,899 providers in Rapid City
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