Individual
DR. LANCE G TAKACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM,D,
Contact information
Practice address
7300 N LA CHOLLA BLVD, TUCSON, AZ 85741-2305
(520) 575-0662
Mailing address
7300 N LA CHOLLA BLVD, TUCSON, AZ 85741-2305
(520) 575-0662
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS38208
FL
183500000X
Pharmacist
Primary
S016500
AZ
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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