| NPI | 1205278686 |
|---|---|
| Doing Business As | LYNN'S PHARMACY HEWITT |
| Entity Type | Organization |
| Authorized Contact | MATTHEW DARBY WAGONER Pharmacist In Charge 254-733-3032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 28666) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: TX 28666) |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 28666) | |
| 314000000X Skilled Nursing Facility (Licence: TX 28666) | |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2020-04-24 |