Most Relevant Information
Provider Data
| NPI Number: | 1003419201 |
| Provider Name: | BRETT WILLIAM LACY PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 57606 |
Most Important Dates
| Enumeration Date: | 11/19/2020 |
| Last Updated: | 11/19/2020 |
Provider Practice Location
2920 E SOUTHCROSS BLVD
SAN ANTONIO
TX
782231903
Practice Location Phone/Fax
| Phone: | 2105323923 |
| Fax: |
Provider Mailing Location
1547 MCKINLEY AVE
SAN ANTONIO
TX
782104346
Provider Mailing Phone/Fax
| Phone: | 1847529476 |
| Fax: |