Organization
LYNNS LA VEGA PHARMACY INC
Active
Other names
LYNN'S LA VEGA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BRADY EVERETT RPH (PRESIDENT)
(254) 799-4949
Entity
Organization
Contact information
Practice address
2401 E WACO DR, WACO, TX 76705-3259
(254) 799-4949
(254) 867-0243
Mailing address
2401 E WACO DR, WACO, TX 76705-3259
(254) 799-4949
(254) 867-0243
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5254
TX
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141863
—
TX
01
—
2096115
PK
—
Enumeration date
08/18/2006
Last updated
03/23/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us