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Individual
MR. LAWRENCE HACKER
Active
Individual
MR. LAWRENCE HACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051027040
IL
183500000X
Pharmacist
PS17527
FL
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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