PHILLIP C LACY

PORTLAND, OR
NPI1215429394
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183700000X Pharmacy Technician
(Licence: OR  CPT-0011115)
Enumeration Date2018-06-04
Last Update Date2018-06-04
Business Address
PHILLIP C LACY CphT
12360 E BURNSIDE ST
PORTLAND, OR 97233-1042
Phone number: 971-279-4800
Mailing Address
PHILLIP C LACY CphT
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044
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