DR. Matt Edrick C. Bactad, PHARM.D.

NPI #1164022190 in Lufkin, Texas

Provider Information

NPI Number
1164022190
Entity Type
Individual
Name
DR. Matt Edrick C. Bactad, PHARM.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
PHARM.D.
Enumeration Date
Oct 28, 2020
Last Updated
Oct 28, 2020

Practice Location

Address
407 N BRENTWOOD
City
Lufkin
State
Texas
ZIP Code
75904-7126
Phone
(936) 639-1748

Specialties & Taxonomy Codes

Specialty
Pharmacist

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