Provider Demographics
NPI:1386229169
Name:MEDTECH LOCAL PHARMACY INC
Entity Type:Organization
Organization Name:MEDTECH LOCAL PHARMACY INC
Other - Org Name:YOUR MEDTECH LOCAL PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR / PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-590-0527
Mailing Address - Street 1:2345 50TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79412-2565
Mailing Address - Country:US
Mailing Address - Phone:806-370-3721
Mailing Address - Fax:806-300-0845
Practice Address - Street 1:2345 50TH ST STE 201
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79412-2565
Practice Address - Country:US
Practice Address - Phone:800-399-8805
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-13
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy