| NPI | 1174684468 |
|---|---|
| Doing Business As | LAKEWAY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BENNETT T BROOKE President 512-261-6567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: TX 15354) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |