Matt Edrick C. Bactad, PHARM.D.

Pharmacist · Lufkin, TX

Individual Active NPI

NPI number 1164022190

Practice location

407 N Brentwood
Lufkin, TX 75904-7126
Phone
(936) 639-1748
Fax
(936) 639-1750

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NPI record

NPI
1164022190
Entity type
Individual (Type 1)
Enumeration date
October 28, 2020
Last updated
October 28, 2020
Certified
October 28, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 63709 TX

About Dr. Bactad

Matt Edrick C. Bactad, PHARM.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 407 N Brentwood, Lufkin, TX 75904-7126. The NPI number 1164022190 was assigned on October 28, 2020 and the record was last updated on October 28, 2020.

Dr. Bactad lists a license in the registry: #63709 (TX) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Matt Edrick C. Bactad, PHARM.D.?

The NPI number is 1164022190.

What is the phone number of Dr. Bactad?

The phone number listed for the practice location is (936) 639-1748.

Where is Dr. Bactad located?

407 N Brentwood, Lufkin, TX 75904-7126.

What is the taxonomy code for Dr. Bactad?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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