Provider Demographics
NPI:1306093166
Name:WEST TEXAS CLINICAL PHARMACY ASSOCIATES, INC.
Entity type:Organization
Organization Name:WEST TEXAS CLINICAL PHARMACY ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:FRANKEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:806-698-8889
Mailing Address - Street 1:5411 30TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79407-3408
Mailing Address - Country:US
Mailing Address - Phone:816-255-3777
Mailing Address - Fax:888-711-1903
Practice Address - Street 1:5411 30TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79407-3408
Practice Address - Country:US
Practice Address - Phone:816-255-3777
Practice Address - Fax:888-711-1903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-25
Last Update Date:2015-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22917183500000X, 1835P0018X
3931911835N1003X
TX30326183500000X, 1835P0018X
3922681835N1003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835N1003XPharmacy Service ProvidersPharmacistNutrition SupportGroup - Multi-Specialty
No183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup - Multi-Specialty