Individual
DR. DANTE LACKTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6604 FRANKFORD AVE, PHILADELPHIA, PA 19135-2509
(215) 941-8020
Mailing address
6604 FRANKFORD AVE, PHILADELPHIA, PA 19135-2509
(215) 941-8020
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP443952
PA
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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