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NPI Code Detail

MEDICARE: CAROL L CHATFIELD RPH

MEDICARE: CAROL L CHATFIELD RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist24344TX

General Provider Information

NPI Number : 1912550369
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL L CHATFIELD RPH
Provider Business Mailing Address
First Line : 4205 98TH ST
Second Line :
City : LUBBOCK
State : TX
Zip : 79423-3971
Country : US
Telephone Number : 806-798-6115
Fax Number : 806-798-6117
Provider Business Practice Location Address
First Line : 4205 98TH ST
Second Line :
City : LUBBOCK
State : TX
Zip : 79423-3971
Country : US
Telephone Number : 806-798-6115
Fax Number : 806-798-6117
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2019
Last Update Date : 07/23/2019

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