Dr. Grant David Lackey, Pharm.D.
Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Folsom, CA. Individual provider (NPI-1).
NPI number1124367693
StatusActive
Last updated in NPPESFeb 4, 2013
Details
- NPI
- 1124367693
- Entity type
- Individual (NPI-1)
- Name
- Dr. Grant David Lackey
- Credential
- Pharm.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 4, 2013
- Last updated
- Feb 4, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835P0018X | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 43452 | CA | Yes |
Practice location
131 Cohn Valley WayFolsom, CA 95630-5050
Phone 916-204-0192
Mailing address
131 Cohn Valley WayFolsom, CA 95630-5050
Phone 916-204-0192
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