Individual
SPENCER NICOLAAS LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
111 KRUGER ST, WHEELING, WV 26003-5120
(304) 242-0273
Mailing address
111 WINNING WAY, CANONSBURG, PA 15317-9511
(412) 862-1772
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP457313
PA
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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