PHILLIP C LACY CphT
Individual Provider (NPI-1)
Active
Pharmacy Technician
Provider Information
- NPI Number
1215429394- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CphT
- Status
- Active
Contact & Location
- Address
- 12360 E BURNSIDE ST, PORTLAND, OR, 972331042
- Phone
- (971) 279-4800
- Fax
- (971) 279-2051
Specialties & Taxonomies
Pharmacy Technician
Primary License: OR #CPT-0011115