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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MATT EDRICK C. BACTAD, PHARM.D.

Active Sole Proprietor

DR. MATT EDRICK C. BACTAD, PHARM.D. is a Pharmacist healthcare provider located in LUFKIN, Texas. NPI 1164022190 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · LUFKIN, TX

Registration Details

NPI Number
1164022190
Provider Type
Individual
Gender
Male
NPI Issued
Oct 28, 2020 (5.7859258454749 yrs)
Last Updated
Oct 28, 2020
License
63709 (TX)
Sole Proprietor
Yes

Practice Information

Address
407 N BRENTWOOD
LUFKIN, TX, 759047126
Browse TX providers · Browse ZIP 75904
Phone
9366391748
Fax
9366391750
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in LUFKIN, TX

Name Credential NPI
MRS. DEIDRE D. KOLB 1316969587
DARRELL DOUGLAS EARNEST 1780608646
MR. F LYNN CHESSER R.PH. 1245254556
MR. ALBERT L BRAZZEL SR. RPH 1770600793
MR. BUFORD T ABELDT SR. RPH 1689791691
JUDY BATSON RPH 1295904738
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.