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LARA ANNE WEINER PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1750998639

Individual Registrant:
 LARA ANNE WEINER PHARMD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
4103 NY-28  BOICEVILLE, NY 12412 US
Tel: 845-657-6511  Fax: --

Contact information for business:
PO BOX 474  BOICEVILLE, NY 12412-0474 US
Tel: 845-657-6511  Fax: --

Registration Information:
NPI: 1750998639
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
NY066982

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS NY - Page 1



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