| Doctor Name: | LACEE L MUFFETT |
| NPI Number: | 1457693731 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RPH |
| License Number: | 9660 |
| Business Practice Address: | 103 Robbins St Molalla, OR - 970388141 |
| Business Phone Number: | 5038299111 |
| Business Fax Number: | 3602132238 |
| Mailing Address: | 916 W Evergreen Blvd, VANCOUVER |
| State: | WA |
| Postal Code: | 986603035 |
| Phone Number: | 5032919111 |
| Fax Number: | 3602132238 |
| NPI Enumeration Date: | 03/25/2013 |
| NPI Last Update Date: | 01/21/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835P0018X |
| License Number: | 9660 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |