Individual
CASSIE COLLEEN LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD.
Contact information
Practice address
123 PARK ST, CANTON, NC 28716-4319
(828) 235-8414
(828) 235-9196
Mailing address
1218 CRANBROOK DR, ARDEN, NC 28704-9671
(828) 808-2421
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18537
NC
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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