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Individual

MRS. ROBIN LYNN THACKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM D RPH

Contact information

Practice address
401 KENDALL DR, LAMAR, CO 81052-3942
(719) 336-6740
(719) 336-8378
Mailing address
401 KENDALL DR, LAMAR, CO 81052-3942
(719) 336-6740
(719) 336-8378

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
12023
NE
183500000X
Pharmacist
Primary
18605
CO

Other

Enumeration date
03/27/2012
Last updated
03/27/2012
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