Kyle Edward Lackie

NPI #1619564424 in Greenwood, Arkansas

Provider Information

NPI Number
1619564424
Entity Type
Individual
Name
Kyle Edward Lackie
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Dec 28, 2020
Last Updated
Dec 28, 2020

Practice Location

Address
1530 W CENTER ST
ZIP Code
72936-3400
Phone
(479) 996-9898

Specialties & Taxonomy Codes

Specialty
Pharmacist

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