KYLE EDWARD LACKIE

GREENWOOD, AR
NPI1619564424
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: AR  PD13641)
Enumeration Date2020-12-28
Last Update Date2020-12-28
Business Address
KYLE EDWARD LACKIE
1530 W CENTER ST
GREENWOOD, AR 72936-3400
Phone number: 479-996-9898
Mailing Address
KYLE EDWARD LACKIE
1530 W CENTER ST
GREENWOOD, AR 72936-3400
Phone number: 479-996-9898