Provider Demographics
NPI:1992172720
Name:LOCKEY, CLIFF (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CLIFF
Middle Name:
Last Name:LOCKEY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6625 W HAPPY VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85310-2617
Mailing Address - Country:US
Mailing Address - Phone:623-561-5092
Mailing Address - Fax:623-566-9364
Practice Address - Street 1:6625 W HAPPY VALLEY RD
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85310-2617
Practice Address - Country:US
Practice Address - Phone:623-561-5092
Practice Address - Fax:623-566-9364
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-27
Last Update Date:2015-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS021514183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist