Lacey Square Pharmacy INC
NPI #1750948956 in Lacey, Washington
Provider Information
- NPI Number
- 1750948956
- Entity Type
- Organization
- Organization Name
- Lacey Square Pharmacy INC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- May 22, 2019
- Last Updated
- May 22, 2019
Practice Location
- Address
- 6020 PACIFIC AVE SE STE C
- City
- Lacey
- State
- Washington
- ZIP Code
- 98503-1319
- Phone
- (425) 251-6335
Authorized Official
- Name
- MR. ANDERSON SHAWN JOLLY, RPH
- Title
- PRESIDENT
- Phone
- (425) 251-6335
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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