Provider Demographics
NPI:1912391335
Name:LACHNEY, GENE RAYMOND JR (BS)
Entity Type:Individual
Prefix:MR
First Name:GENE
Middle Name:RAYMOND
Last Name:LACHNEY
Suffix:JR
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 S. HWY 29
Mailing Address - Street 2:
Mailing Address - City:CANTONMENT
Mailing Address - State:FL
Mailing Address - Zip Code:32533
Mailing Address - Country:US
Mailing Address - Phone:850-968-3318
Mailing Address - Fax:
Practice Address - Street 1:1550 S HWY 29
Practice Address - Street 2:
Practice Address - City:CANTONMENT
Practice Address - State:FL
Practice Address - Zip Code:32533
Practice Address - Country:US
Practice Address - Phone:850-968-3318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-24
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL28290183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist