| NPI | 1104990365 |
|---|---|
| Other Name | LUBBOCK STATE SUPPORTED LIVING CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SCOTT SCHALCHLIN Associate Commissioner 512-438-4689 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TX 6021) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2019-01-23 |