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General NPI Number Information
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NPI Number | 1750771937
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Entity Type | Organization
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Legal Business Name | CAPROCK COMPOUNDING PHARMACY INC.
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Dates
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Enumeration Date | 01/27/2015
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Last Update Date | 05/14/2015
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Provider Practice Location Address
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Address Line | 3007 50TH STREET
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City | LUBBOCK
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State | TX
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Zip | 79413
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Country | US
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Telephone | 806-589-6333
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Fax | 806-589-6330
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Provider Business Mailing Address
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Address Line | 3007 50TH ST
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City | LUBBOCK
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State | TX
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Zip | 79413-4101
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Country | US
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Telephone | 806-589-6333
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Fax | 806-589-6330
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | DR. CRISTINA ESCOBEDO
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Credential | PHARMD
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Telephone | 80658996333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 29642
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License Number State | TX
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