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GRACE CLINIC OF LUBBOCK NPI 1144303264


NPI Information

NPI: 1144303264
Provider Name: GRACE CLINIC OF LUBBOCK

Doing Business As: GRACE PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 45D1101487

Address:
4515 MARSHA SHARP FWY
LUBBOCK, TX
ZIP 79407
Phone: (806) 740-3305
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GRACE CLINIC OF LUBBOCK is a community/retail pharmacy pharmacy in Lubbock, TX. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. GRACE CLINIC OF LUBBOCK NPI is 1144303264. The provider is registered as an organization entity type.
The provider Is Doing Business As Grace Pharmacy.

The provider's business location address is:

4515 MARSHA SHARP FWY
LUBBOCK, TX
ZIP 79407-520
Phone: (806) 740-3305
Fax: (806) 712-1803

The provider's authorized official is Jennifer Nall .
The authorized official title is Pic and has the following contact phone number (806) 740-3305.

The CLIA number assigned to this NPI record is 45D1101487 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 5/15/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail Pharmacy25283TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12099658OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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