LUBBOCK PHARMACY (2896)    INSTITUTION (4)

Name Value
NAME LUBBOCK PHARMACY
STATE TEXAS
STREET ADDR. 1 3510 4TH ST
CITY Lubbock
ZIP 79415-9998
OFFICIAL VA NAME Lubbock Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME LUBBOCK VA CLINIC PHARMACY
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1750339636
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1750339636