Organization
HEWITT DRUG
Active
Organization
HEWITT DRUG
Active
Other names
Lynn's Pharmacy Hewitt
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW DARBY WAGONER RPH (PHARMACIST IN CHARGE)
(254) 733-3032
Entity
Organization
Contact information
Practice address
511 N HEWITT DR, SUITE 1, HEWITT, TX 76643-3000
(254) 666-5000
(254) 666-5002
Mailing address
511 N HEWITT DR, SUITE 1, HEWITT, TX 76643-3000
(254) 666-5000
(254) 666-5002
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
28666
TX
313M00000X
Nursing Facility/Intermediate Care Facility
28666
TX
314000000X
Skilled Nursing Facility
28666
TX
3336C0003X
Community/Retail Pharmacy
Primary
28666
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148899
—
TX
01
—
28666
TEXAS PHARMACY PERMIT
TX
Enumeration date
07/25/2013
Last updated
04/24/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up