Individual provider · Type 1 NPI

Lacey Jay Sullivan, PharmD

Pharmacist · Phoenix, AZ

NPI number 1194070235 Active

Practice location

4302 W Buckeye Rd Ste 109
Phoenix, AZ 85043-4904

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X21887 (IA)
Pharmacist Primary 183500000XS019202 (AZ)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1194070235

Lacey Jay Sullivan, PharmD's National Provider Identifier is 1194070235, issued on Jul 15, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 14, 2022.