Individual
DR. CARL SCOTT O'BANION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCNSP
Contact information
Practice address
5411 30TH ST, LUBBOCK, TX 79407-3408
(806) 799-1237
Mailing address
5411 30TH ST, LUBBOCK, TX 79407-3408
(806) 799-1237
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
22917
TX
1835N1003X
Nutrition Support Pharmacist
Primary
22917
TX
Other
Enumeration date
07/21/2005
Last updated
08/25/2008
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