Lynn'S La Vega Pharmacy

LBN: Lynns La Vega Pharmacy Inc
Lynn'S La Vega Pharmacy is an health care organization with primary practice located at 2401 E Waco Dr , Waco TX 76705-3259. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Lynns La Vega Pharmacy Inc can be contacted via phone (254) 799-4949, or through Everett, Brady via phone (254) 799-4949.

Contact Information

Primary practice address
2401 E Waco Dr Waco TX 76705-3259
Phone: (254) 799-4949
Fax: (254) 867-0243
Website:
Map and Directions
Authorized official contact:
Name: Everett, Brady RPH
Phone: (254) 799-4949

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 5254 Texas
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1558475541
LBN Legal business name Lynns La Vega Pharmacy Inc
DBA Doing business as Lynn'S La Vega Pharmacy
Authorized official Everett, Brady RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2006
Last updated Mar 23rd, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558475541 NPPES
Other 2096115 PK
MEDICAID 141863 PK

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