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1881476075
TIMOTHY LEE LACEY
ARKADELPHIA, AR
NPI
1881476075
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3336L0003X Pharmacy Long Term Care Pharmacy
(Licence: AR PD07030)
Enumeration Date
2023-10-20
Last Update Date
2023-10-20
Business Address
TIMOTHY LEE LACEY BS PD
518 CLAY ST
ARKADELPHIA, AR 71923-6024
Phone number: 501-217-8880
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Mailing Address
TIMOTHY LEE LACEY BS PD
2502 E CARMICHAEL RD
CABOT, AR 72023-9609
Phone number: 501-231-1130
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