Healthcare Provider Details

I. General information

NPI: 1104990365
Provider Name (Legal Business Name): HEALTH AND HUMAN SERVICES COMMISSION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 01/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 N UNIVERSITY AVE
LUBBOCK TX
79415-1734
US

IV. Provider business mailing address

PO BOX 5396
LUBBOCK TX
79408-5396
US

V. Phone/Fax

Practice location:
  • Phone: 806-763-7041
  • Fax: 806-741-3604
Mailing address:
  • Phone: 806-763-7041
  • Fax: 806-741-3604

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number6021
License Number StateTX

VIII. Authorized Official

Name: SCOTT SCHALCHLIN
Title or Position: ASSOCIATE COMMISSIONER
Credential:
Phone: 512-438-4689