Provider Demographics
NPI:1952639445
Name:HEALTHSCRIPTS OF AMERICA-LUBBOCK LLC
Entity Type:Organization
Organization Name:HEALTHSCRIPTS OF AMERICA-LUBBOCK LLC
Other - Org Name:HEALTHSCRIPTS OF AMERICA-LUBBOCK, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:HENRIKSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-770-8194
Mailing Address - Street 1:13020 DAIRY ASHFORD RD STE 301
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3151
Mailing Address - Country:US
Mailing Address - Phone:832-494-3210
Mailing Address - Fax:832-770-8196
Practice Address - Street 1:5004 FRANKFORD AVE
Practice Address - Street 2:STE 119
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-1131
Practice Address - Country:US
Practice Address - Phone:806-589-6233
Practice Address - Fax:844-369-9210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-23
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X
TX293213336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2147078OtherPK