Provider Demographics
NPI:1417786674
Name:BASKETT, BRITTANY LANE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:LANE
Last Name:BASKETT
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 1:6804 SHADYDALE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76182-7615
Mailing Address - Country:US
Mailing Address - Phone:702-327-7649
Mailing Address - Fax:
Practice Address - Street 1:1800 BROWN BLVD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-4602
Practice Address - Country:US
Practice Address - Phone:817-459-4066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-27
Last Update Date:2024-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX74336183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist