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Organization

TEXAS TECH STUDENT HEALTH PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEATHER LYNN JOHNSON R.PH. (PHARMACSIT IN CHARGE)
(806) 743-2636
Entity
Organization

Contact information

Practice address
1003 FLINT AVE., LUBBOCK, TX 79409
(806) 743-2636
(806) 743-4474
Mailing address
1003 FLINT AVE, LUBBOCK, TX 79409-0001
(806) 743-2636
(806) 743-4474

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
06057
TX

Other

Enumeration date
02/14/2007
Last updated
02/11/2015
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