Lacey Square Pharmacy Inc
Long Term Care Pharmacy
6020 Pacific Ave Se Ste C, Lacey
Washington, 98503-1319
425-251-6335 425-251-6337
Lacey Square Pharmacy Inc is a Long Term Care Pharmacy in Lacey, Washington. It is located at 6020 Pacific Ave Se Ste C, Lacey and it's customer support contact number is 425-251-6335. The authorized person of Lacey Square Pharmacy Inc is Mr. Anderson Shawn Jolly, RPH who is President of the pharmacy and his contact number is 425-251-6335.
Lacey Square Pharmacy Inc is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Lacey Square Pharmacy Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Lacey Square Pharmacy Inc |
| Type: | Long Term Care Pharmacy |
| Location: | 6020 Pacific Ave Se Ste C, Lacey,
Washington, 98503-1319 |
| Phone: | 425-251-6335 |
| Fax: | 425-251-6337 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Anderson Shawn Jolly |
| Credentials: | RPH |
| Position: | President |
| Contact Number: | 425-251-6335 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1750948956 |
| NPI Enumeration Date: | 22 May, 2019 |
| NPI Last Update On: | 22 May, 2019 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lacey Square Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| PHAR.CF.60953133 | Other | Washington | Wa Pharmacy License |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1412 Sw 43rd St Ste 120,
Renton, Washington |
| Zip: | 98057-4803 |
| Phone Number: | 425-251-6335 |
Patients can reach Lacey Square Pharmacy Inc at
6020 Pacific Ave Se Ste C, Lacey, Washington or can
call on customer care at 425-251-6335.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.