Individual
DR. BRETT WILLIAM LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2920 E SOUTHCROSS BLVD, SAN ANTONIO, TX 78223-1903
(210) 532-3923
Mailing address
1547 MCKINLEY AVE, SAN ANTONIO, TX 78210-4346
(184) 752-9476
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
57606
TX
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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