Organization
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER
Active
Parent organization
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER
Other names
TTUHSC Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER
Authorized official
GRACE M KUO PHD (DEAN, TEXAS TECH SCHOOL OF PHARMACY)
(806) 356-4000
Entity
Organization
Contact information
Practice address
3601 4TH ST # 1B300, LUBBOCK, TX 79430
(806) 743-3270
(806) 743-3260
Mailing address
3601 4TH ST, #1A150, LUBBOCK, TX 79430-0002
(806) 743-3270
(806) 743-3260
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
20678
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20678
STATE BOARD OF PHARMACY
TX
05
—
320238
—
TX
01
—
323026
MEDICARE PART B IMMUNIZER
TX
Enumeration date
06/16/2006
Last updated
03/07/2023
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