Individual provider · Type 1 NPI

Travis Owen Lacore, PharmD

Pharmacist · Kiester, MN

NPI number 1336404490 Active

Practice location

113 North 3rd Street
Kiester, MN 56051

Fax (641) 298-1204

Mailing address

P.o. Box 357, 113 North 3rd Street
Kiester, MN 56051

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X118237 (MN)
Pharmacist 183500000X21210 (IA)
Pharmacist 183500000X5416 (SD)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

About NPI 1336404490

Travis Owen Lacore, PharmD's National Provider Identifier is 1336404490, issued on Jul 5, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Kiester, MN. The record was last updated on Jul 5, 2012.