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Individual

CHARLEMAGNE LACZA

Active
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Individual

CHARLEMAGNE LACZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, PHARMD

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
28RI03193300
NJ
183500000X
Pharmacist
49194
TX
183500000X
Pharmacist
Primary
60372
CA

Other

Enumeration date
06/20/2012
Last updated
06/20/2012
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