Lakeway Pharmacy
LBN: Lakeway Pharmacy Llc
Lakeway Pharmacy is an health care organization with primary practice located at 3500 Ranch Road 620 S Suite A-100, Bee Cave TX 78738-7153. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Lakeway Pharmacy Llc can be contacted via phone (512) 502-5161, or through Ezirim, Iheanacho via phone (409) 504-2962.
Contact Information
Primary practice address
3500 Ranch Road 620 S Suite A-100
Bee Cave TX 78738-7153
Phone: (512) 502-5161
Fax: (512) 502-5227
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 32003 | Texas |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1275021818 |
|---|---|
| LBN Legal business name | Lakeway Pharmacy Llc |
| DBA Doing business as | Lakeway Pharmacy |
| Authorized official | Ezirim, Iheanacho |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 30th, 2018 |
| Last updated | Apr 30th, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275021818 | NPPES |
| Other | 2177383 | PK |
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