LACEY DEYANNE BUCKHANNON

CHAMPAIGN, IL
NPI1336846351
Former NameLACEY DEYANNE HUMES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183700000X Pharmacy Technician
(Licence: IL  049137234)
Enumeration Date2023-02-09
Last Update Date2023-02-09
Business Address
Mrs. LACEY DEYANNE BUCKHANNON
1509 S NEIL ST
CHAMPAIGN, IL 61820-6580
Phone number: 217-351-1516
Mailing Address
Mrs. LACEY DEYANNE BUCKHANNON
480 MACON ST
MAHOMET, IL 61853-9421
Phone number: 217-721-8731