| NPI | 1558475541 |
|---|---|
| Doing Business As | LYNN'S LA VEGA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BRADY EVERETT President 254-799-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 5254) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2016-03-23 |