Individual provider · Type 1 NPI

Phillip C. Lacy, CPHT

Pharmacy Technician · Portland, OR

NPI number 1215429394 Active

Practice location

12360 E Burnside St
Portland, OR 97233-1042

Fax (971) 279-2051

Mailing address

1776 SW Madison St
Portland, OR 97205-1715

Specialties and licenses

TaxonomyCodeLicense
Pharmacy Technician Primary 183700000XCPT-0011115 (OR)

Pharmacy Technician: A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.

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About NPI 1215429394

Phillip C. Lacy, CPHT's National Provider Identifier is 1215429394, issued on Jun 4, 2018. The primary taxonomy on file is Pharmacy Technician (183700000X), and the practice location is in Portland, OR. The record was last updated on Jun 4, 2018.