Individual
LACY HOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 S PIONEER WAY, MOSES LAKE, WA 98837-1812
(509) 765-1219
Mailing address
500 S PIONEER WAY, MOSES LAKE, WA 98837-1812
(509) 431-3125
(509) 766-2964
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA60908312
WA
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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