Individual
KELLY A. HACKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
4525 3RD AVE SE STE 200, LACEY, WA 98503-1010
(360) 301-8111
Mailing address
4525 3RD AVE SE STE 200, LACEY, WA 98503-1010
(360) 301-8111
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60010903
WA
Other
Enumeration date
09/09/2008
Last updated
10/15/2025
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