Provider Demographics
NPI:1598079667
Name:MCCONNELL, LACY CHRISTINE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LACY
Middle Name:CHRISTINE
Last Name:MCCONNELL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:LACY
Other - Middle Name:CHRISTINE
Other - Last Name:MCRAE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:7017 SW 90TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73169-3739
Mailing Address - Country:US
Mailing Address - Phone:843-860-8013
Mailing Address - Fax:
Practice Address - Street 1:1195 REMOUNT RD
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-3528
Practice Address - Country:US
Practice Address - Phone:843-744-8896
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-01
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC12938183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist