Lacy, Phillip C

Lacy, Phillip C is an individual health care provider with primary practice located at 12360 E Burnside St , Portland OR 97233-1042. He recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as his primary health care specialty. Lacy, Phillip C can be contacted via phone (971) 279-4800.

Contact Information

Primary practice address
12360 E Burnside St Portland OR 97233-1042
Phone: (971) 279-4800
Fax: (971) 279-2051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X CPT-0011115 Oregon

Profile Details

NPI number 1215429394
LBN Legal business name Lacy, Phillip C
Credentials CPHT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2018
Last updated Jun 4th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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