Lacey Mikelle Charbonneau, PHARMD, BCGP

NPI #1083202584 in Winter Haven, Florida

Provider Information

NPI Number: 1083202584
Entity Type: Individual
Name: Lacey Mikelle Charbonneau, PHARMD, BCGP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD, BCGP
Enumeration Date: Jan 9, 2021
Last Updated: Aug 16, 2023

Practice Location

Address: 400 6TH ST NW
City: Winter Haven
State: Florida
ZIP Code: 33881-4062
Phone: (904) 993-3592

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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