Provider Demographics
NPI:1235641242
Name:LANKFORD, JUSTIN (PHARMD RPH)
Entity Type:Individual
Prefix:
First Name:JUSTIN
Middle Name:
Last Name:LANKFORD
Suffix:
Gender:M
Credentials:PHARMD RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1014 BUFFALO SPRINGS WAY
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-8456
Mailing Address - Country:US
Mailing Address - Phone:281-203-9416
Mailing Address - Fax:
Practice Address - Street 1:19710 HOLZWARTH RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-6215
Practice Address - Country:US
Practice Address - Phone:281-350-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-31
Last Update Date:2017-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61814183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist