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Individual
MRS. LAURA MARIE PENCA
Active
Individual
MRS. LAURA MARIE PENCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
053419-1
NY
183500000X
Pharmacist
26019488A
IN
Other
Enumeration date
09/17/2009
Last updated
09/17/2009
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