Individual
DR. CHARLES FREDERICK LACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
11 SUNSET WAY, HENDERSON, NV 89014-2333
(702) 968-2016
(702) 990-4435
Mailing address
1017 LAVENDER LN, LA CANADA, CA 91011-2338
(702) 968-2016
(702) 990-4435
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
36613
CA
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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