Organization
PHARMCARE USA OF LUBBOCK LLC
Active
Other names
Pharmcare USA of Lubbock
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS GOMERSALL (VP OF COMPLIANCE)
(866) 219-3619
Entity
Organization
Contact information
Practice address
6102 45TH ST, SUITE C, LUBBOCK, TX 79407-3752
(866) 219-3619
(877) 505-7999
Mailing address
PO BOX 365, HYDRO, OK 73048-0365
(866) 219-3619
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
31536
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2169520
PK
—
05
—
351065
—
TX
Enumeration date
08/28/2017
Last updated
07/19/2018
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