Organization
GRACE CLINIC OF LUBBOCK
Active
Organization
GRACE CLINIC OF LUBBOCK
Active
Other names
GRACE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
4515 MARSHA SHARP FWY, LUBBOCK, TX 79407-2520
(806) 740-3305
(806) 712-1803
Mailing address
PO BOX 676132, DALLAS, TX 75267-6132
(806) 740-3305
(806) 712-1803
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
25283
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2099658
PK
—
Enumeration date
10/23/2006
Last updated
05/09/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up