| NPI | 1275021818 |
|---|---|
| Doing Business As | LAKEWAY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | IHEANACHO EZIRIM Pharmacist In Charge 409-504-2962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 32003) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-04-30 |