Provider Demographics
NPI:1396529004
Name:GREENWOOD, LEXIE DENAE (PHARMD)
Entity type:Individual
Prefix:
First Name:LEXIE
Middle Name:DENAE
Last Name:GREENWOOD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:LEXIE
Other - Middle Name:DENAE
Other - Last Name:BRACKEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5226 41ST ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79414-1105
Mailing Address - Country:US
Mailing Address - Phone:806-654-4926
Mailing Address - Fax:
Practice Address - Street 1:300 W VETERANS BLVD
Practice Address - Street 2:
Practice Address - City:BIG SPRING
Practice Address - State:TX
Practice Address - Zip Code:79720-5566
Practice Address - Country:US
Practice Address - Phone:432-263-7361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-23
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72957183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist