Organization
LUBBOCK COUNTY HOSPITAL DISTRICT
Active
Other names
UNIVERSITY MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH MOORE RPH (MANAGER)
(806) 775-8691
Entity
Organization
Contact information
Practice address
602 INDIANA AVE, LUBBOCK, TX 79415-3364
(806) 775-8696
(806) 775-8690
Mailing address
602 INDIANA AVE, PO BOX 5980, LUBBOCK, TX 79415-3364
(806) 775-8691
(806) 775-8690
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
6058
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2101370
PK
—
05
—
250296
—
TX
Enumeration date
05/04/2006
Last updated
08/22/2016
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