# TD HEALTHCARE 2 LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Twin Oaks Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891219564
- **Authorized official:** DAVID L FUNG RPH (MANAGING OFFICER)
- **Authorized official phone:** (813) 244-9882

## Contact information

- **Practice address:** 3436 34TH ST, LUBBOCK, TX 79410-2830
- **Practice address phone:** (806) 799-3636
- **Practice address fax:** (806) 795-4622
- **Mailing address:** 10113 CHICAGO AVE, LUBBOCK, TX 79424-8254
- **Mailing address phone:** (813) 244-9882
- **Mailing address fax:** (806) 783-0883

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 27815 | TX | Yes |

## Other

- **Enumeration date:** 08/03/2017
- **Last updated:** 08/03/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 148536 | — | TX |