Organization · Type 2 NPI

Health and Human Services Commission

Long Term Care Pharmacy · Lubbock, TX

NPI number 1104990365 Active

Practice location

3401 N University Ave
Lubbock, TX 79415-1734

Call (806) 763-7041 Map

Fax (806) 741-3604

Mailing address

PO Box 5396
Lubbock, TX 79408-5396

Specialties and licenses

Taxonomy	Code	License
Long Term Care Pharmacy Primary	3336L0003X	6021 (TX)

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

10 other providers at this address

Other long term care pharmacy providers in Lubbock

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NPI record

NPI: 1104990365
Entity type: Organization (Type 2)
Issued: Nov 20, 2006
Last updated: Jan 23, 2019
Status: Active
Subpart: Yes of Health and Human Services Commission

Other names

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Lubbock State Supported Living Center Pharmacy · other name
Lubbock State Supported Living Center Pharmacy · other name

Authorized official

Scott Schalchlin
Associate Commissioner
(512) 438-4689

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104990365

Health and Human Services Commission's National Provider Identifier is 1104990365, issued on Nov 20, 2006. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Lubbock, TX. The record was last updated on Jan 23, 2019.