Individual
LACEE L MUFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
103 ROBBINS ST, MOLALLA, OR 97038-8141
(503) 829-9111
(360) 213-2238
Mailing address
916 W EVERGREEN BLVD, VANCOUVER, WA 98660-3035
(503) 291-9111
(360) 213-2238
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0009660
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
9660
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH-0009660
PHARMACIST LICENSE
OR
01
—
RPH-0009660-P
PHARMACIST LICENSE
OR
Enumeration date
03/25/2013
Last updated
01/21/2016
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