Individual
LACEY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2600 TUSCARAWAS ST W STE 360, CANTON, OH 44708-4644
(330) 363-2514
Mailing address
2600 SIXTH ST SW, CANTON, OH 44710-1702
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
03132016
OH
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
03132016
OH
1835P1200X
Pharmacotherapy Pharmacist
03132016
OH
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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