Christian Lyle Andrew Mactavish, is a
Pharmacy Technician based in Friendswood, Texas. Christian Lyle Andrew Mactavish is licensed to practice in Texas (license number 310666) and his current practice location is
701 W Parkwood Ave, Friendswood, Texas. He can be reached at his office (for appointments etc.) via phone at
(281) 996-9971.
NPI number for Christian Lyle Andrew Mactavish is 1205417037 and his current mailing address is 701 W Parkwood Ave, Friendswood, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205417037.
Healthcare Provider's Profile
Full Name | Christian Lyle Andrew Mactavish |
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Gender | Male |
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Speciality | Pharmacy Technician |
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Location | 701 W Parkwood Ave, Friendswood, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205417037
- Provider Enumeration Date: 04/14/2021
- Last Update Date: 04/14/2021
Medical Identifiers
Medical identifiers for Christian Lyle Andrew Mactavish such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205417037 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 310666 (Texas) | Secondary |
183700000X | Pharmacy Technician | 310666 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christian Lyle Andrew Mactavish is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Christian Lyle Andrew Mactavish, 701 W Parkwood Ave, Friendswood, TX 77546-5405 Ph: (281) 996-9971 | Christian Lyle Andrew Mactavish, 701 W Parkwood Ave, Friendswood, TX 77546-5405 Ph: (281) 996-9971 |
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