Provider Demographics
NPI:1780280198
Name:ECHEVARRIA, ROXANNE ROSANA (PHARMD)
Entity type:Individual
Prefix:
First Name:ROXANNE
Middle Name:ROSANA
Last Name:ECHEVARRIA
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 1:6216 66TH ST APT 2202
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-5952
Mailing Address - Country:US
Mailing Address - Phone:214-336-8719
Mailing Address - Fax:
Practice Address - Street 1:402 COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:LEVELLAND
Practice Address - State:TX
Practice Address - Zip Code:79336-4804
Practice Address - Country:US
Practice Address - Phone:806-894-8521
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-10
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63101183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist