Provider Demographics
NPI:1396727061
Name:THOMPSON, TRACI K (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TRACI
Middle Name:K
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3506 21ST ST STE 201
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1211
Mailing Address - Country:US
Mailing Address - Phone:806-725-3800
Mailing Address - Fax:
Practice Address - Street 1:3615 19TH ST # 149
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1209
Practice Address - Country:US
Practice Address - Phone:806-725-3800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX432201835P1200X, 1835S0206X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No1835S0206XPharmacy Service ProvidersPharmacistSolid Organ Transplant