# PHARMCARE USA OF LUBBOCK LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pharmcare USA of Lubbock
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497272694
- **Authorized official:** DORIS GOMERSALL (VP OF COMPLIANCE)
- **Authorized official phone:** (866) 219-3619

## Contact information

- **Practice address:** 6102 45TH ST, SUITE C, LUBBOCK, TX 79407-3752
- **Practice address phone:** (866) 219-3619
- **Practice address fax:** (877) 505-7999
- **Mailing address:** PO BOX 365, HYDRO, OK 73048-0365
- **Mailing address phone:** (866) 219-3619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 31536 | TX | Yes |

## Other

- **Enumeration date:** 08/28/2017
- **Last updated:** 07/19/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2169520 | PK | — |
| 05 | — | 351065 | — | TX |