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Contact Information

JOHN HALSEY PHARMACY
4102 24TH ST
STE 103
LUBBOCK, TX79410-1806
 Phone: 806-795-8555
 Fax: 806-795-8555
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Mail Order Pharmacy

3336M0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for JOHN HALSEY PHARMACY

NPI # 1225046956
LBN Legal business name JOHN HALSEY PHARMACY
Authorized official ERIC PENDARVIS - (PIC)
Entity Organization
Organization subpart 1 No
Enumeration date 08/05/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
TX License # 11706
TX Medicaid 120624
Other 4526046 OTHER ID NUMBER-COMMERCIAL NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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