Individual
CAITLYN LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2611 E OAKLAND AVE, BLOOMINGTON, IL 61701-5839
(309) 663-8344
Mailing address
2611 E OAKLAND AVE, BLOOMINGTON, IL 61701-5839
(309) 663-8344
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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