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Individual
LAKISHA G ROE
Active
Individual
LAKISHA G ROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12680
SC
390200000X
Student in an Organized Health Care Education/Training Program
I-4779
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467631226
USAF
—
Enumeration date
10/29/2007
Last updated
08/28/2026
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