Individual
MS. AUDREY LOUISE LACEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
14701 PIONEER WAY E, PUYALLUP, WA 98372-3684
(253) 845-7259
Mailing address
14701 PIONEER WAY E, PUYALLUP, WA 98372-3684
(253) 845-7259
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00007018
WA
Other
Enumeration date
10/24/2005
Last updated
07/08/2007
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