Provider Demographics
NPI:1467571224
Name:UNIQUE HOMECARE PHARMACY
Entity Type:Organization
Organization Name:UNIQUE HOMECARE PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-794-7808
Mailing Address - Street 1:8226 VALENCIA AVE UNIT 5
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-4966
Mailing Address - Country:US
Mailing Address - Phone:806-794-7808
Mailing Address - Fax:806-833-2649
Practice Address - Street 1:8226 VALENCIA AVE UNIT 5
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-4966
Practice Address - Country:US
Practice Address - Phone:806-794-7808
Practice Address - Fax:806-833-2649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15118332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0530720001Medicare ID - Type Unspecified