Individual
MATTHEW LACEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
9843 WINDISH ROAD, WEST CHESTER, OH 45069
(800) 379-0092
Mailing address
3787 SPENCER WAY, FRANKLIN, OH 45005-9500
(513) 571-4085
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
600107010292385
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063675684
HUMANA PHARMACY
—
Enumeration date
08/04/2022
Last updated
08/04/2022
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