Theodore Michael Dacey

NPI #1922390731 in Lansford, Pennsylvania

Provider Information

NPI Number: 1922390731
Entity Type: Individual
Name: Theodore Michael Dacey
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: May 11, 2011
Last Updated: May 11, 2011

Practice Location

Address: 480 W BERTSCH ST
City: Lansford
State: Pennsylvania
ZIP Code: 18232-1003
Phone: (570) 645-3179

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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