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NPI 1508865403

IndividualActive

Carl O'Banion, PHARMD, BCNSP

NPI 1508865403 · Nutrition Support Pharmacist · Lubbock, TX

Provider details

NPI number: 1508865403
Entity type: Individual
Primary specialty: Nutrition Support PharmacistPharmacy Service Providers
Credential: PHARMD, BCNSP
Sex: Male
Sole proprietor: Yes
License: 22917 (TX)

Practice location

5411 30th St

Lubbock, TX 79407-3408

Phone: (806) 799-1237

More TX providers

Mailing address

5411 30th St

Lubbock, TX 79407-3408

Registry dates

Enumerated: 2005-07-21
Last updated: 2008-08-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Carl O'Banion, PHARMD, BCNSP — NPI 1508865403, Lubbock, TX | NPI Central