Covenant Medical Center
Pharmacy, Community/Retail Pharmacy in Lubbock, TX. Organization (NPI-2).
NPI number1689112930
StatusActive
Last updated in NPPESMay 9, 2025
Details
- NPI
- 1689112930
- Entity type
- Organization (NPI-2)
- Legal business name
- Covenant Medical Center
- Organization subpart
- No
- Enumeration date
- Feb 7, 2017
- Certification date
- May 9, 2025
- Last updated
- May 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Covenant Health Pharmacy (Doing Business As)
Practice location
3615 19th St Fl 1Lubbock, TX 79410-1203
Phone 806-725-7979 · Fax 806-723-7979
Mailing address
Po Box 677044Dallas, TX 75267-7044
Phone 806-725-7979 · Fax 806-723-7979
Authorized official
Donald W Anderson
Assistant Secretary Of Enrollments
4253589786
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