Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY LEE LACEY, BS PD
Active Sole ProprietorTIMOTHY LEE LACEY, BS PD is a Retail Pharmacy healthcare provider located in ARKADELPHIA, Arkansas. NPI 1881476075 is currently active in the NPPES registry. Verify at CMS.
Retail Pharmacy · ARKADELPHIA, AR
Registration Details
- NPI Number
- 1881476075
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 20, 2023 (2.6272216200723 yrs)
- Last Updated
- Oct 20, 2023
- License
-
PD07030 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
518 CLAY STARKADELPHIA, AR, 719236024Browse AR providers · Browse ZIP 71923
- Phone
- 5012178880
- Primary Specialty
-
Retail Pharmacy
3336L0003X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.