Provider Demographics
NPI:1154911634
Name:PARTEN, CRISTALYN SAGESER (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CRISTALYN
Middle Name:SAGESER
Last Name:PARTEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2316 34TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79411-1634
Mailing Address - Country:US
Mailing Address - Phone:806-795-4353
Mailing Address - Fax:806-795-0090
Practice Address - Street 1:2316 34TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79411-1634
Practice Address - Country:US
Practice Address - Phone:806-795-4353
Practice Address - Fax:806-795-0090
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-19
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51609183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist