Provider Demographics
NPI:1083648729
Name:ZEPEDA, KRISTOPHER JOHN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:KRISTOPHER
Middle Name:JOHN
Last Name:ZEPEDA
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5802 92ND
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424
Mailing Address - Country:US
Mailing Address - Phone:806-441-9608
Mailing Address - Fax:
Practice Address - Street 1:805 TAHOKA ROAD
Practice Address - Street 2:NELSON PHARMACY
Practice Address - City:BROWNFIELD
Practice Address - State:TX
Practice Address - Zip Code:79316
Practice Address - Country:US
Practice Address - Phone:806-637-3533
Practice Address - Fax:806-637-4212
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX42377183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist