Provider Demographics
NPI:1821699406
Name:DILBECK, CHAD ALAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHAD
Middle Name:ALAN
Last Name:DILBECK
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3603 CASTLEGATE DR
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75462-5413
Mailing Address - Country:US
Mailing Address - Phone:903-785-8734
Mailing Address - Fax:
Practice Address - Street 1:3855 LAMAR AVE
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75462-5210
Practice Address - Country:US
Practice Address - Phone:903-785-8734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51923183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist