Provider Demographics
NPI:1942585013
Name:LANCIA, CHANDRA KAY (RPH)
Entity Type:Individual
Prefix:MRS
First Name:CHANDRA
Middle Name:KAY
Last Name:LANCIA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4492 CENTRAL SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63304-7112
Mailing Address - Country:US
Mailing Address - Phone:636-936-8744
Mailing Address - Fax:636-936-1779
Practice Address - Street 1:4492 CENTRAL SCHOOL RD
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63304-7112
Practice Address - Country:US
Practice Address - Phone:636-936-8744
Practice Address - Fax:636-936-1779
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002000532183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist