Individual
MR. CHARLES PATRICK LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1250 UPPER FRONT ST, BINGHAMTON, NY 13901-1068
(607) 723-8291
(607) 651-9992
Mailing address
1250 UPPER FRONT ST, BINGHAMTON, NY 13901-1068
(607) 723-8291
(607) 651-9992
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36585
NY
Other
Enumeration date
11/20/2007
Last updated
11/20/2007
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