IndividualActive
Charles Lacy, PHARM.D.
NPI 1790713568 · Pharmacotherapy Pharmacist · Henderson, NV
Provider details
- NPI number
- 1790713568
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 36613 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
11 Sunset Way
Henderson, NV 89014-2333
Phone: (702) 968-2016
Fax: (702) 990-4435
Approximate (ZIP-level) locationGet directions
Mailing address
1017 Lavender Ln
La Canada, CA 91011-2338
Registry dates
- Enumerated
- 2006-06-29
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.