Organization
LUBBOCK COUNTY HOSPITAL DISTRICT
Active
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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