Individual
BREECI LAINA PECKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
800 W COSHOCTON ST, JOHNSTOWN, OH 43031-8904
(740) 966-8310
Mailing address
104 1ST AVE, YORKVILLE, OH 43971-1202
(740) 359-3124
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03232999
OH
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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