Provider Demographics
NPI:1205629235
Name:DRISKILL, DONDRA JAN (RPH)
Entity type:Individual
Prefix:
First Name:DONDRA
Middle Name:JAN
Last Name:DRISKILL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8304 COUNTY ROAD 6915
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79407-5726
Mailing Address - Country:US
Mailing Address - Phone:806-438-0480
Mailing Address - Fax:
Practice Address - Street 1:12815 INDIANA AVE
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-5677
Practice Address - Country:US
Practice Address - Phone:806-776-8915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36404183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist