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Mrs. Lacey Deyanne Buckhannon
Pharmacy Technician in Champaign, Illinois
NPI 1336846351

Lacey Deyanne Buckhannon is a Pharmacy Technician based in Mahomet, IL. Lacey Deyanne Buckhannon practices in Champaign, IL. The NPI Number for Lacey Deyanne Buckhannon is 1336846351 and holds a License No. 049137234 (Illinois).

The current practice location address for Lacey Deyanne Buckhannon is 1509 S Neil St, Champaign, IL and can be reached out via phone at 217-351-1516.

Location: 1509 S Neil St, Champaign, IL, 61853-9421
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336846351
Provider Name
Lacey Deyanne Buckhannon
Credential
Provider Entity Type
Individual
Gender
Female
Address
1509 S Neil St, Champaign, IL, 61853-9421
Phone Number
217-351-1516
Fax Number
Provider Enumeration Date
02/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1509 S Neil St
City
Champaign
State
Illinois
Zip
61820-6580
Phone Number
217-351-1516
Fax Number
person
Provider Business Mailing Address Details
Address
1509 S Neil St
City
Champaign
State
Illinois
Zip
61820-6580
Phone Number
217-351-1516
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacy Technician
Speciality
-
Taxonomy
183700000X
License No.
049137234 (Illinois)
Definition
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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