Organization · Type 2 NPI

Cip Northside LLC

Community/Retail Pharmacy · Abilene, TX

NPI number 1831635697 Active

Practice location

1640 State Highway 351
Abilene, TX 79601-4746

Call (325) 704-4208 Map

Fax (325) 305-0565

Mailing address

3410 98th St Ste 4-369
Lubbock, TX 79423-3847

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	31261 (TX)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

Another provider at this address

Amy Elizabeth Watts, PharmDPharmacist Abilene, TX NPI 1801364104

Other community/retail pharmacy providers in Abilene

See all in Abilene →

NPI record

NPI: 1831635697
Entity type: Organization (Type 2)
Issued: Jan 17, 2017
Last updated: Apr 24, 2020
Status: Active

Other names

<unavail>
Taylor County Pharmacy · doing business as
Taylor County Pharmacy · doing business as

Authorized official

Cody Clark, PharmD
Managing Officer/owner/ao
(806) 773-5958

Verify this record

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 1831635697

Cip Northside LLC's National Provider Identifier is 1831635697, issued on Jan 17, 2017. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Abilene, TX. The record was last updated on Apr 24, 2020.