Provider Demographics
NPI:1316305097
Name:BARRACHINA, LUCY
Entity type:Individual
Prefix:
First Name:LUCY
Middle Name:
Last Name:BARRACHINA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 W GRAND PKWY S STE G-477
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-8286
Mailing Address - Country:US
Mailing Address - Phone:469-952-9111
Mailing Address - Fax:
Practice Address - Street 1:2004 E EXPRESSWAY 83 STE 2
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-5037
Practice Address - Country:US
Practice Address - Phone:956-405-3089
Practice Address - Fax:956-405-3178
Is Sole Proprietor?:No
Enumeration Date:2016-02-09
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX42872174H00000X, 183500000X
183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No174H00000XOther Service ProvidersHealth Educator
No183700000XPharmacy Service ProvidersPharmacy Technician