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Lillian D Lockett Md Pa
Non-Pharmacy Dispensing Site in Lake Jackson, Texas
NPI 1225321441

Lillian D Lockett Md Pa is a Non-Pharmacy Dispensing Site based in Lake Jackson, TX. Lillian D Lockett Md Pa practices in Lake Jackson, TX. The NPI Number for Lillian D Lockett Md Pa is 1225321441 and holds a License No. J1463 (Texas).

The current practice location address for Lillian D Lockett Md Pa is 135 Oyster Creek Dr, Lake Jackson, TX and can be reached out via phone at 979-299-3255 and via fax at 979-299-3433.

Location: 135 Oyster Creek Dr, Lake Jackson, TX, 77566-4119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225321441
Provider Name
Lillian D Lockett Md Pa
Credential
Provider Entity Type
Organization
Address
135 Oyster Creek Dr, Lake Jackson, TX, 77566-4119
Phone Number
979-299-3255
Fax Number
979-299-3433
Provider Enumeration Date
05/20/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
034120801 05 TX
institution
Provider Business Practice Location Address Details
Address
135 Oyster Creek Dr
City
Lake Jackson
State
Texas
Zip
77566-4119
Phone Number
979-299-3255
Fax Number
979-299-3433
person
Provider Business Mailing Address Details
Address
135 Oyster Creek Dr
City
Lake Jackson
State
Texas
Zip
77566-4119
Phone Number
979-299-3255
Fax Number
979-299-3433
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
J1463 (Texas)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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